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Policyholders’ Bill of Rights
( Consumer Feedback )


By submitting the information requested below you are expressing your opinion as to whether or not you think substantial Insurance Reform Legislation, such as the Policyholders’ Bill of Rights, is necessary.

The “Comments” text box is provided for any narrative you would care to share.

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Your Full Name: *
Address:
City:     State: *    Zip: *
Daytime Phone:
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E-mail Address: *

* Do You Believe Substantial Insurance Reform Legislation is Necessary ?    Yes   No
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