FREE PERSONALIZED QUOTE: (910) 686 - 1116

Blue Chip
Insurance Agency, Inc.

   

Professional and personal hands on
service is our commitment to you!

 

Serving North Carolina
for 30 years
1-800-914-4220

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Blue Cross Blue Shield of North Carolina Authorized Agent
Individual North Carolina Health Insurance Plan
Blue Advantage – Blue Options HSA
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Experience the Difference - NC Health Insurance Agent
 

Tailor Made Plans based on your requirements & budget.

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* 1. Applicant information
* Applicant's First Name:
* Applicant's Last Name:
* Applicant's Date of Birth: mm/dd/yyyy
* Current Age
* Applicant's E-mail Address:
* County of Residence:
* Zip Code:
* Applicant's Gender: Male
*Tobacco Usage during past 12 months: Yes   No
* Height and Weight: Height:   Weight: 
2. Enter information about other individuals you want to include on this plan:
  Spouse
Children
3. Insurance Information
* Coverage needed for how long:
* Current Insurance:
What best describes your current needs? (You may select more than one)  
My employer no longer offers coverage. I am comparing rates.
I have cobra I am starting a new business.
I need health insurance immediately. My insurance has been cancelled.
4. Include dental quote?
No
5. Include maternity quote?
No
6. Plans to quote?
Blue AdvantageŽ Blue Options HSA (sm) Group Plans
Long Term Care
* 7. Quote delivery method
By E-mail
Who do you want to contact?
    Diane

BlueChip Insurance Agency is an independent authorized producer/agency licensed to promote products from Blue Cross and Blue Shield of North Carolina (BCBSNC). The content contained in this site is maintained by BlueChip Insurance Agency. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered mark of the Blue Cross and Blue Shield Association

BlueChip Insurance Agency - Blue Cross and Blue Shield Authorized Group Health and Life Insurance Agent in Wilmington, North Carolina (NC).

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