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    Applicant Information

    Primary Insured - Health Insurance Quote
    Please enter your first and last name
    Please enter the gender of the primary insured person.
    Please answer whether or not you smoke tobacco products.
    Please enter your date of birth in the following format: MM/DD/YYYY
    Please answer whether or not you are currently pregnant.
    Please enter the number of dependents for whom you also need coverage.
    In order to determine if you qualify for certain government subsidies and other programs, please provide your estimated annual income.
    Additional Insureds - Health Insurance Quote

    Contact Information
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    Please enter your mailing address.
    Please enter an email address we can use to contact you about this insurance quote.
    Please enter a phone number we can use to contact you about this insurance quote.
    Please let us know if there's anything else we should know to provide you an accurate insurance quote.
    Your private information is provided exclusively to our agency and will not be redistributed or sold to anyone else.
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Smart Care​
​Middle River Office
11615 Crossroads Circle
Suite M
​Middle River, MD 21220


Mason Office
9378 Mason Montgomery Rd.

Mason, OH 45040
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(443) 868-1078
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