International Outreach Ministries

Dear IOM Missionaries!

My name is Mark Sneed and I am the Vice President of the Missionary Division at Insurance Consultants International. On behalf of Craig Robinson and the staff at ICI, let me congratulate and encourage you on your partnership with IOM.

Our insurance agency has been in business for over 18 years. All of our staff have a heart for missions and insurance background in one form or another, and I can attest that all of us have a desire to see organizations like yours grow and flourish.
Our tagline on www.missiontripinsurance.com bests describes our mission…

“Serving Those who Serve HIM”

As an international insurance agent, our responsibility is to make sure that our clients understand the details of their health insurance plan. Please know that you can always email, Skype, instant message, or call us if you need clarification. We look forward to working and developing a relationship with you!

God’s richest blessings on your ministry!

Mark Sneed
mark@missiontripinsurance.com
1-800-576-2674 x 103
Direct: 719-428-4503

To help us better serve you and your insurance needs, please complete the form below. Note that all lines are not required, however the more information we have available the better we can be of service.

IOM Questionnaire

Name*
First Last
Email*
Phone
Age*
Spouses Name (if applicable)
First Last
Spouse Age
Dependent #1 (if applicable)
First Last
Dependent # 1 Age
Dependent # 2 (if applicable)
First Last
Dependent #2 Age
Dependent # 3 (if applicable)
First Last
Dependent # 3 Age
Additional Family Members:
Please enter any additional family members (Dependents) name and age.
In what Country do you reside?*
Do you currently have health insurance?*
If so, who is it through? (What is the name of the carrier?)
What is the deductible?
What are the current annual premiums?
What is your renewal date?
MM slash DD slash YYYY
Do you need maternity benefits?
Does anyone in your family have a medical history that would be deemed a pre-existing condition that we need to have covered?
Pre-existing Conditions
Please briefly describe any pre-exsisting conditions you or a family member needs covered
Do you want to have access to medical care in the US?
Hidden
Do you want information on international life insurance?

All information that you provide will be held in the strictest of confidence. We take our jobs very seriously and will provide the utmost privacy of your information.

While this is not mandatory, IOM highly encourages the service and customer service from Insurance Consultants Int’l. ICI has a wealth of experience, can help you find the right policy for your needs and they have solutions and strategies for dealing with high renewal rates. By using one agent/broker IOM will be able to streamline and facilitate the communication and information flow between our associates and the home office. Please consider using ICI as your agent.

Agent of Record Change Letter

Please cut and paste this into a new email of yours and email it to mark@globalhealthinsurance.com

Broker/Agent of Record Change
To: (please list insurance carrier) __________________

RE: (list your policy number’s) ___________________

Please change the agent of record on my policy/policies to Craig A. Robinson Agent number# ( we will insert this depending on carrier is used) . Please send all agent correspondence to Craig from this point forward.

Print: (Name of Primary Insured and family members)

_________________________________

Email Address: _______________________

Phone #:____________________________

Skype: ______________________________

Sincerely, (Please type your name and date)

______________________________

IOM Questionnaire

Agent of Record Change Letter

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