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Step 1

Discount Medical Plan Application

Your Account Information
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Form 03659-1
This is not insurance nor is it intended to replace insurance. This discount benefit program contains a 30 day cancellation period. For a full list of disclosures, please click here. Discount Medical Plan Organization: New Benefits, Ltd., Attn: Compliance Department, PO Box 671309, Dallas, TX 75367-1309. Not available in KS, UT or WA.