Referral Plan


*I will need the following information completed: your first and last name, your phone number, your mailing address, the first and last name of the referred person, referred phone number, relationship to the referred person, as well as how would you rate Greg Kelley's service?*

*Select which award you would like if I am able to get your referred individual or family coverage approved on: Venmo, Cash App, Dunkin' Donuts, Starbucks*

*I also help small businesses if you know of anyone needing help with individual or family coverage in this area*

Your Full Name

First Name


Last Name


Phone


Email


Address 1


Address 2


City


State/Region


Zip


Country

Referred Name

First Name


Last Name


Phone


Email


Your relationship with Referred Person?


How would you rate our service?


Which reward would you prefer?



5 STAR HEALTHCARE

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info@5starhealthcare5.com

My State Licenses:



5 Star Healthcare, LLC is dedicated to helping people live healthier lives and making the health system work better for everyone. We serve millions of people from their earliest years through their working lives and through retirement. Product availability varies by state. Enrollment and/or sign up is not a guarantee of coverage.

Attention: This website is operated by 5 Star Healthcare, LLC and is not the health insurance marketplace website. 5 Star Healthcare, LLC is licensed as an insurance agency in all 31 states. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer's enrollment in a health plan. No obligation to enroll. Agents cannot provide tax or legal advice. Our quoting tool is provided for your information only. All quotes are estimates and are not final until the applicant is enrolled.

5 Star Healthcare, LLC we are strongly committed to protecting your privacy. As explained in our TRUST e-certified Privacy Policy and our terms of use, we do not sell, trade, or give away your personal information without your permission, and we respect your choices about whether and how to receive marketing messages from us.


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