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AGENT OF RECORD ASSIGNMENT INDIVIDUAL POLICY ONLY TO BE COMPLETED BY THE BROKER:Agency Name: Broker Name: Agency Address: Agency Phone: Tax ID Number: Subscriber Name: Policy Number: Effective Date*:
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What is individual policy only?
Individual policy only refers to an insurance plan that covers only one person. It does not extend coverage to any dependents.
Who is required to file individual policy only?
Individuals who are not eligible for group insurance through their employer or other organization may choose to purchase an individual policy.
How to fill out individual policy only?
Individuals can fill out an individual policy only by contacting an insurance provider directly or through an insurance broker.
What is the purpose of individual policy only?
The purpose of an individual policy only is to provide health or other types of insurance coverage for individuals who do not have access to group insurance.
What information must be reported on individual policy only?
When applying for an individual policy only, individuals may be required to provide personal information such as their medical history, lifestyle habits, and contact information.
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