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Physicians Mutual Insurance Company


Wednesday, August 20, 2014
Reference: 
PHYS-129645047

H20I Individual Health – Vision

The above-captioned rates are submitted for your review and approval. This is a new form and does not replace any forms previously approved by your Department. The rider will be used with any appropriate approved individual supplemental health policy. To the best of my knowledge, this form complies with all state laws and regulations. 
 
B426 is an optional rider that will be marketed through our agency and direct response distribution channels. It will be sold at issue and as add-ons.

Status: Assigned
Percent Change: n/a

HIRFAssigned

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