AGENT DETAILS
Letisha Shentay Jackson (NATIONAL GROUP MARKETING)
jacksoninsuregrp@gmail.com
6622976649 Cell
6624321698 Office
PLAN SECTION
NATIONAL GROUP MARKETING
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Choose a Plan
Annual Deductible Per Member
Formulary
Retail Co-pay
Copay-1
Copay-2
Copay-3
Mail Order Co-pay
Copay-1
Copay-2
Copay-3
Maximum Benefits Payable
Per Member Per Month
Monthly Rates
Individual
Individual + Spouse
Individual + Child(ren)
Family
No plan is available.
FG = Formulary Generic
FB = Formulary Brand
NF = Non-Formulary
PB = Preferred Brand
NPB = Non-Preferred Brand
PRIMARY MEMBER APPLICANT DETAILS
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Select the desired effective date from the list of available options above.

APPLICANT ADDRESS

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