Tom Storm Insurance Agency, Inc. Tom Storm Insurance Agency, Inc. Karen Storm Tom Storm Insurance Agency, Inc.
Tom Storm Insurance Agency, Inc.

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Tom Storm Insurance Agency, Inc.
Tom Storm Insurance Agency, Inc.

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Tom Storm Insurance Agency, Inc.
11370 Grand River Rd.
Brighton, MI. 48116
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Phone:  810-588-6310
Fax:  800-550-1785
Email:  karen@tomstorminsurance.com

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Medicare Questionnaire

Tom Storm Insurance Agency, Inc.
We would like to provide you with more information on Medicare. Please provide as much information possible and we will contact you within one to two business days to discuss the Medicare plan that fits your needs. This information will be kept confidential and will be used for consultation purposes only.

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By providing the information below, I grant permission for a licensed insurance agent to contact me regarding my Medicare options including Medicare Supplement, Medicare Advantage, Prescription Drug plans.

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Coverage Information
Check any of the following sources if you currently receive health or drug coverage:
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  • We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact medicare.gov or 1-800-MEDICARE to get information on all of your options.

  • Not affiliated with or endorsed by the government or federal Medicare program.

  • Participating sales agencies represent Medicare Advantage [HMO, PPO, PFFS, and PDP] organizations that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Tom Storm Insurance Agency, Inc.
Tom Storm Insurance Agency, Inc.
Tom Storm Insurance Agency, Inc.
Tom Storm Insurance Agency, Inc.
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Important Note: This website provides only a simplified description of coverages and is not a statement of contract. Coverage may not apply in all states.
For complete details of coverages, conditions, limits and losses not covered, be sure to read the policy, including all endorsements.