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Submitted URL: http://dev.natgenrefer.com/
Effective URL: https://dev.natgenrefer.com/
Submission: On December 12 via api from US — Scanned from US
Effective URL: https://dev.natgenrefer.com/
Submission: On December 12 via api from US — Scanned from US
Form analysis
1 forms found in the DOMPOST DONOTHING
<form id="main-form" class="hero-form" method="post" action="DONOTHING" onsubmit="return createZIFLead()">
<h2 class="form-heading">Free Health Insurance Quote Now!</h2>
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<input type="text" class="text-field w-input" data-hj-whitelist="" name="LastName" data-name="LastName" placeholder="Last Name" id="LastName" required="">
<input type="text" class="text-field w-input" data-hj-whitelist="" maxlength="5" name="ZipCode" data-name="ZipCode" placeholder="Zip Code" id="ZipCode" required="">
<input type="text" class="text-field phone w-input" data-hj-whitelist="" maxlength="10" pattern="(?!/0000000000|1111111111|2222222222|3333333333|4444444444|5555555555|66666666666|7777777777|8888888888|9999999999/)(^[2-9][0-9]\d{8})"
name="PhoneNumber" data-name="PhoneNumber" placeholder="Phone (Ex: 5554567890)" id="PhoneNumber" required="">
<input type="text" class="text-field w-input" maxlength="35" name="AgentName" placeholder="Agent Name" id="AgentName" required="">
<p class="age-text">I am:</p>
<div class="age-radio w-radio">
<input type="radio" data-name="U65" id="U65" name="AgeRadio" value="U65" required="" class="w-radio-input" checked="">
<label for="Under 65" class="w-form-label">Under 65 Years Old</label>
</div>
<div class="age-radio w-radio">
<input type="radio" data-name="O65" id="O65" name="AgeRadio" value="O65" class="w-radio-input">
<label for="Over 65" class="w-form-label">Over 65 Years Old</label>
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<input type="submit" value="Get Quote >>" data-wait="Please wait..." class="submit-button w-button">
</form>
Text Content
Questions? Call us: (855) 499-7929Existing Customer? Click Here. MONTHLY PRICE STARTING AT $ 95.75* NATIONAL GENERAL INSURANCE ACCIDENT & HEALTH Looking for an affordable, quality health plan? Find health coverage with National General Insurance, the official health insurance partner of your property and casualty agent. MONTHLY PRICING STARTING AT $ 95.75* FREE HEALTH INSURANCE QUOTE NOW! I am: Under 65 Years Old Over 65 Years Old By submitting this form, you authorize VelaPoint, LLC, and/or its affiliates to contact you at the e-mail address and phone number provided (even if the number you provided is on a state or National Do Not Call registry). This contact may include providing you with insurance quotes, policy and benefit information, and/or marketing information. The company may contact you using live operators, auto-dialers, pre-recorded messages, text messages,and/or emails. You acknowledge that you are not required to consent to contact as a condition of receiving services and that you may revoke consent at any time. *Sample rate is based on the monthly premium for Short Term Medical Value plan for a male 29, non-smoker,ZIP code 750--, $25,000 deductible, 80/20 coinsurance. Rates may be subject to change. For a customized quote, please input information above or call in. QUICK QUOTES, EASY ENROLLMENTS Get quotes, enroll and go on with your day AFFORDABLE HEALTH PLANS Affordable health options that fit your needs and budget COVERAGE AS EARLY AS NEXT DAY Apply today for coverage starting tomorrow YEAR-ROUND ENROLLMENTS Solutions both for Open Enrollment and beyond DON’T GO WITHOUT HEALTH INSURANCE Health Coverage provides peace of mind for those unpredictable moments in life and provides the financial protection you need from unexpected medical bills and other health care expenses. COVERAGE FOR* DOCTOR VISITS + PREVENTATIVE CARE EMERGENCY ROOM + AMBULANCE COVERAGE URGENT CARE BENEFITS + AND MORE *Benefits vary based on policy(ies) enrolled in. Please consult your policy documents to confirm coverage. MISSED THE DEADLINE FOR OPEN ENROLLMENT? NEED AFFORDABLE INSURANCE? Short-term health insurance is health coverage designed to cover individuals for a pre-determined length of time. These plans can be substantially less expensive than traditional major medical policies. SHORT-TERM MEDICAL IS A GREAT OPTION FOR: Those who missed the open enrollment period for major medical Individuals who are in a probationary period at a new job and waiting for benefits to begin Those who are looking for a lower cost alternative to major medical Students who are leaving parental coverage and more CALL OR CLICK FOR SHORT TERM HEALTH INSURANCE PLANS STARTING AT $95.75 (855) 499-7929 Get a Quote LOOKING FOR EVEN MORE PROTECTION? Supplemental policies that work with existing health insurance or on their own are a great way to protect against serious medical events like major illnesses and accidents. FAST-ACTING COVERAGE BEGINS AS SOON AS TOMORROW. COVERAGE OUTSIDE OF THE ENROLLMENT PERIOD. COVERAGE FOR AN UNEXPECTED INJURY OR MAJOR ILLNESS. INEXPENSIVE WAY TO REDUCE FINANCIAL RISK. Get Free Quote THIS PLAN PROVIDES LIMITED BENEFITS. STM plans don’t count as compliant coverage under the Affordable Care Act, so enrolling in short-term insurance may mean you’ll pay a penalty when you file your federal income tax return. They also don’t offer minimum essential coverage, which means that benefits such as free preventative care and pre-existing condition coverages are excluded. SHORT TERM MEDICAL (STM) AND HEALTH CARE REFORM SHORT-TERM, LIMITED-DURATION PLANS ARE NOT SUBJECT TO CERTAIN PROVISIONS OF FEDERAL HEALTH CARE REFORM, INCLUDING THE PROVISIONS RELATED TO ESSENTIAL HEALTH BENEFITS, LIFETIME LIMITS, PREVENTIVE CARE, GUARANTEED RENEWABILITY, AND PRE-EXISTING CONDITIONS. THE PRE-EXISTING CONDITION EXCLUSION FOR SHORT TERM MEDICAL PLANS WILL APPLY FOR ALL INSUREDS, INCLUDING THOSE UNDER THE AGE OF 19. EXAMPLES OF THE CLAIMS STM PLANS DO NOT COVER ARE FOR MOST PREVENTIVE CARE, MATERNITY, MENTAL HEALTH AND TREATMENT RELATED TO MEDICAL CONDITIONS THEY HAD PRIOR TO THE PLAN’S EFFECTIVE DATE. BECAUSE THESE PLANS ARE NOT GUARANTEED RENEWABLE, THE APPLICANT MAY NOT BE ELIGIBLE FOR ANOTHER SHORT-TERM PLAN AFTER THE PLAN’S TERMINATION DATE; AND THE PRE-EXISTING CONDITION EXCLUSION WILL APPLY TO ANY CONDITIONS THAT AROSE DURING ANY PRIOR SHORT-TERM PLANS. KNOW YOUR PLAN. SHORT TERM MEDICAL AND SUPPLEMENTAL ACCIDENT AND CRITICAL-ILLNESS PLANS OFFER AFFORDABLE COVERAGE, BUT MAY HAVE ELIGIBILITY QUESTIONS (SO YOU CAN BE DECLINED) AND DO NOT PROVIDE MINIMUM ESSENTIAL COVERAGE. THIS MEANS THE INSURED MAY HAVE TO PAY A TAX PENALTY, DEPENDING ON THEIR INCOME LEVEL AND THE COST OF PLANS AVAILABLE. National General Accident & Health markets products underwritten by Time Insurance Company, National Health Insurance Company, Integon National Insurance Company and Integon Indemnity Corporation. © 2018 National Health Insurance Company. All rights reserved California Consumer Privacy