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Florida
Application for Aetna Individual Health Insurance*
Aetna Life Insurance Company and Aetna Health Inc.
Primary Applicants Name
Applicants Social Security NumberINSTRUCTIONS:
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The purpose of applications for coverage must is to provide necessary information to the insurance company in order to determine coverage eligibility and premium rates.
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Information such as personal details, previous insurance history, coverage requirements, and any claims history must be reported on applications for coverage must.
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