Health insurance for less than a latté a day*

* Required

Gender

Date of Birth
mm dd yyyy

Tobacco usage in last 12 months?

Full-time college student?

* Applicant:

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Spouse:

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Child1:

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I want my coverage to begin on:

* Zip Code:

Think you can't afford health insurance?

Did you know that for less than the price of a latté a day you may be able to buy a quality health insurance plan? eHealthInsurance will help you find affordable coverage and have some money left over for the fun stuff.

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*Assuming an average price per-latté of $2.75. Based on a survey of the most affordable health insurance options available as quoted on www.ehealthinsurance.com on 10/07/10 for non-smoking 25-year-old males and females in the following states: AZ, CA, FL, GA, IL, IN, MI, NC, ND, OH, PA, TX, VA, WA. Does not apply to residents of Albany, NY, New York, NY and Trenton, NJ.