Your Name:		Creative Health Insurance
			230 Hartford Turnpike
	Zip Code		Vernon, CT. 06066
	Phone Number:		Local Phone . . 860-647-7353
			Toll Free . . . 1-866-508-0618
	Best Time to Call:		Fax . . . . . . . . . . 860-896-7440
			Email: Creative-Health@comcast.net
	E-Mail address:
	Type any comments or questions here:
	If you are a Medicare beneficiary, by submitting this form, your are giving Creative Health Insurance permission to make contact with you for the express purpose of discussing Medicare Advantage plans, Medicare Supplemental plans, Part D Drug plans. This is to protect you from receiving information on products you did not authorize.
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	JA April 19, 2011