Service:
Life Insurance (your home)
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Paul Knaust:
Paul Knaust
Date/time:
Fri, May 10 at 1:00 PM
(
CDT
)
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Please fill out the form below to schedule this appointment.
First name
*
Last name
*
Email
*
Phone
*
Text reminders via SMS
more info
Street address
*
City, state, zip
*
Is this address a change from 2023?
Yes
No
Not sure
How many tax dependents will your household have in 2024??
*
1
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9
10+
Is this (number of tax dependents) change from 2023?
Yes
No
Not sure
Birthday
*
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What do you project your household income to be in 2024?
Is your projected 2024 household income a change from 2022?
Yes
No
Not sure
Do you expect any life changes in 2024?
(e.g., marriage/divorce, newborns, retirement)
What do you want to change the most about your plan from last year if anything?
(e.g., co-pays, deductibles, prescription coverage, physician network)
Do you have a specific doctor, hospital or pharmacy you want to use?
What is your monthly health care budget?
Any other information you would like to share?
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