Washington State Health Insurance, Michael Benzikry & Associates
Individual or Family Health Quote
Group Benefits
Individual Health
Short Term Medical
Dental Insurance
Disability Insurance
Life Insurance
Longterm Care
Working man

We make every effort to respond within 1-2 business days.

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, WA *Zipcode
*Best time to contact:
  Self-employed? No Yes
  Anyone to be insured pregnant? No Yes
  Desired Effective Date (format mm-dd-yyyy)
  Include Dental Insurance? No Yes

Family Information: All Date of Birth fields are required.

  *Date of Birth (format mm-dd-yyyy) or "none"
Tobacco user? Yes No
Tobacco user? Yes No
*Number of dependent children


Thank you for your inquiry!



Michael Benzikry & Associates, 9311 SE 36th Street #105, Mercer Island WA 98040 | Call (206) 232-1080
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