Personal Insurance Exchange

Client Contact Card

Thank you for choosing {{ vm.agentDetails.companyName }}

Client satisfaction is our number one priority. Please fill out this contact so that we can better serve your needs. All mailed materials are optional and for informational purposes only.

You have selected: {{ vm.selectedPlan.planName }} by {{ vm.selectedPlan.carrierName }} with a {{ ( 1 === vm.quoteInfo.People.length ) ? ( vm.selectedPlan.deductiblePer | currency ) : ( vm.selectedPlan.deductible | currency ) }} deductible and a {{ vm.selectedPlan.premium | currency }} monthly premium.

We look forward to doing business with you.

Sincerely,
{{ vm.agentDetails.firstName }} {{ vm.agentDetails.lastName }}

First Name

This field is required.

Last Name

This field is required.

Please enter a valid email.

Home Phone

Mobile Phone

First Name

Last Name

Enter a valid email.

This field is required.

Enter a valid email.

CC List

{{ cc }} ×

Message

Address

{{ vm.agentDetails.City + ", " + vm.agentDetails.State + " " + vm.agentDetails.ZipCode }}

Office Hours

Mon - Fri

Our Mission

About

Relationship	Birthday	Gender	Tobacco Use	Remove
{{person.relationship}}

Zip Code

This field is required

Enter a valid zip code

Catastrophic Voucher

County

This field is required

Start Date

This field is required

Start date

This field is required

Medical Marketplace

{{ vm.count === -1 ? 0 : vm.count }} results

Compare

Monthly Premium

{{ (1 === vm.quoteInfo.People.length && vm.editorDetails.hasApplicant) ? 'Deductible' : 'Ind. Deductible' }}

Family Deductible

Plan Type:

Network:

{{ ( 1 === vm.quoteInfo.People.length && vm.editorDetails.hasApplicant ) ? 'Max Out-of-Pocket:' : 'Ind. Max Out-of-Pocket:' }}

Family Max Out-of-Pocket:

Dental Marketplace

Individual

Family Deductible (100's)

Carriers

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Plan Type

{{ planType }} ({{ vm.filteredResults.planType[ planType ] }})

Network

{{ network }} ({{ counter }})

{{ vm.count === -1 ? 0 : vm.count }} results

Compare

Monthly Premium

{{ ( 1 === vm.quoteInfo.People.length && vm.editorDetails.hasApplicant ) ? 'Deductible' : 'Ind. Deductible' }}

Family Deductible

Plan Type:

Network:

Maximum Annual Benefit:

Vision Marketplace

Individual

Carriers

{{ carrier }} ({{ counter }})

Plan Type

{{ planType }} ({{ vm.filteredResults.planType[ planType ] }})

Network

{{ network }} ({{ counter }})

{{ vm.count === -1 ? 0 : vm.count }} results

Compare

Monthly Premium

Plan Type:

Network:

Premium Breakdown

Coverage Details

Carrier Name:	{{ vm.carrierName }}
Plan Name:	{{ vm.planName }}
Zip Code:	{{ vm.quoteInfo.zipCode }}
County:	{{ vm.quoteInfo.county }}
Start Date:	{{ vm.quoteInfo.startDate }}

Relationship	Birthday	Gender	Tobacco	Premium
Family Total				{{ vm.premiumBreakdownData.premium \| currency }}
Applicant	{{vm.quotedApplicant.DOB}}	{{vm.quotedApplicant.Gender}}	{{ ('1' == vm.quotedApplicant.Tobacco) ? 'Yes' : (('0' == vm.quotedApplicant.Tobacco) ? 'No' : '') }}	{{ vm.premiumBreakdownData.QuotedDemographics.Applicant.Premium \| currency }}
Spouse	{{vm.quotedSpouse.DOB}}	{{vm.quotedSpouse.Gender}}	{{ ('1' == vm.quotedSpouse.Tobacco) ? 'Yes' : (('0' == vm.quotedSpouse.Tobacco) ? 'No' : '') }}	{{ vm.premiumBreakdownData.QuotedDemographics.Spouse.Premium \| currency }}
Child	{{child.DOB}}	{{child.Gender}}	{{ ('1' == child.Tobacco) ? 'Yes' : (('0' == child.Tobacco) ? 'No' : '') }}	{{ child.Premium \| currency }}

Notice: The Premium Costs shown are estimates only and subject to change based upon the verification of the company's and applicants' information, an insurance company's application review practices, your selection of available optional benefits, application fees, and applicable law.

{{ vm.comparePlansView ? 'Extended Plan Comparison' : 'Extended Plan Details' }}

Coverage starting {{ vm.quoteInfo.startDate }}.

Zip code: {{ vm.quoteInfo.zipCode }} County: {{ vm.quoteInfo.county }}

{{ vm.agentDetails.City + ', ' + vm.agentDetails.State + ' ' + vm.agentDetails.ZipCode }}

	{{ planName }}
{{ detail.label }}	{{ detail.isCurrency ? ( detailValue \| currency ) : detailValue }}	{{ detail.isCurrency ? ( detailValue \| currency ) : detailValue }}
Plan Specific Details
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{{ detail.label }}	{{ detail.isCurrency ? ( detailValue \| currency ) : ( detail.isBoolean ? ( 1 == detailValue ? 'Yes' : 'No' ) : detailValue ) }}	{{ detail.isCurrency ? ( detailValue \| currency ) : ( detail.isBoolean ? ( 1 == detailValue ? 'Yes' : 'No' ) : detailValue ) }}
Office Visits
{{ detail.label }}	{{ detail.isCurrency ? ( detailValue \| currency ) : detailValue }}	{{ detail.isCurrency ? ( detailValue \| currency ) : detailValue }}
Emergency & Hospital Visits
{{ detail.label }}	{{ detail.isCurrency ? ( detailValue \| currency ) : detailValue }}	{{ detail.isCurrency ? ( detailValue \| currency ) : detailValue }}
Prescription Drug Coverage
{{ detail.label }}	{{ detail.isCurrency ? ( detailValue \| currency ) : detailValue }}	{{ detail.isCurrency ? ( detailValue \| currency ) : detailValue }}
Plan Specific Details
{{ customDetail }}	{{ customDetailData }}

Your Quote Information

Client Contact Card

Email Quote

You have selected Trovia

{{ vm.agentDetails.firstName + " " + vm.agentDetails.lastName }}

Mon - Fri

Our Mission

About

Medical Marketplace

Individual

Dental Marketplace

Individual

Vision Marketplace

Individual

Premium Breakdown

Coverage Details

Please confirm ...

Please confirm ...

Notification Sent

{{ vm.comparePlansView ? 'Extended Plan Comparison' : 'Extended Plan Details' }}

Coverage starting {{ vm.quoteInfo.startDate }}.

Zip code: {{ vm.quoteInfo.zipCode }} County: {{ vm.quoteInfo.county }}

{{ vm.agentDetails.firstName }} {{ vm.agentDetails.lastName }}

{{ vm.agentDetails.companyName }}

{{ vm.agentDetails.StreetAddressLine1 }}

{{ vm.agentDetails.StreetAddressLine2 }}

{{ vm.agentDetails.City + ', ' + vm.agentDetails.State + ' ' + vm.agentDetails.ZipCode }}

{{ vm.agentDetails.officeNumber }}

{{ vm.agentDetails.shownEmail }}

{{ vm.quoteInfo.company }}

{{ vm.companyDetails.addressOne }}

{{ vm.companyDetails.addressTwo }}

{{ vm.companyDetails.city }}

{{ vm.companyDetails.state }}

{{ vm.companyDetails.zipCode }}

{{ planName }}

{{ detail.label }}

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Plan Specific Details

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{{ detail.isCurrency ? ( detailValue | currency ) : ( detail.isBoolean ? ( 1 == detailValue ? 'Yes' : 'No' ) : detailValue ) }}

{{ detail.isCurrency ? ( detailValue | currency ) : ( detail.isBoolean ? ( 1 == detailValue ? 'Yes' : 'No' ) : detailValue ) }}

Office Visits

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{{ detail.isCurrency ? ( detailValue | currency ) : detailValue }}

{{ detail.isCurrency ? ( detailValue | currency ) : detailValue }}

Emergency & Hospital Visits

{{ detail.label }}

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{{ detail.isCurrency ? ( detailValue | currency ) : detailValue }}

Prescription Drug Coverage

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Plan Specific Details

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