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FLORIDA LIFE & HEALTH INSURANCE SPECIALISTS!!!

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INNOVATIVE INSURANCE SOLUTIONS

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Sex:	Male Female
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Describe your Health:	Regular Regular Plus Preferred Preferred Plus What is my health?
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Amount of Insurance:	What coverage amount do I need?
Premiums Paid:	Annual Monthly

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Innovative Insurance Solutions � Refers licensed life insurance agents in all 50 states. The following agent license numbers are provided for Innovative Insurance Solutions as required by state law: FL agent # A225936