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Group Health Insurance and Ancillary Products
4400 State Hwy 121, Suite 300
Lewisville, Texas 75056
Phone: (817) 717-2660
Gap Plan RFP
Sic Description::
SIC - Description
Number of EE's:
EE #
State:
State
Zip:
Zip
Major Medical Deductible::
Medical Ded
Major Medical Out-of Pocket:::
OOP
Family Max:
in fam max
In-patient benefit Maximum:
In pt max
In-patient deductible:
In pt ded
Waive in patient deductible?
Waive in ded
Out-patient benefit type:
Out Type
Out-patient benefit max:
Out Ben Max
Out-patient benefit deductible:
Out bene ded
Emergency room deductible:
out Er ded
Waive ER deductible for accident:
waive er ded
Out-Patient Benefits
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