Primary First Name Last Name State Date of Birth Gender Tobacco/Vape Usage
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OneShare Catastrophic

Effective Date
ISA (Individual Sharing Amount) Amount
Maximum Sharing Amount Per Incident
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Best suited for individuals and families who are primarily healthy and looking to join a program which shares catastrophic medical needs. *An annual administration fee of $45.00 is due from each primary member upon their program year anniversary.
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Monthly Administration Fee 30

$30.00 per Month

OneShare Application Fee

$125.00 one-time

Product: $155.00
Total $155.00