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1V M.".-A*"i»ei -'. >k A-: m. 1 -M'A w 'Jkix/L »i?iin' J?i*.X£.;.J~. xjfr'tt* lit'.,*. lM. -M »• .v_itiA w - D CT NOW! Get This Handsome ocument Holder With Your Policy Protect all your valuable personal papers in one safe place! This durable vinyl document holder is yours to keep even if you decide not to continue your protection. (ilTI)F |\Vml PMhl P £ t I S H-K, New, Easy-to-Read Policy! At last--a policy written in plain, everyday language that every­ one can understand. It takes only a few minutes to read, and you'll know exactly what you're covered for. Licensed in the State of Illinois NOW--Just complete the simple enrollment form below and mail with $1.00 today. You cannot be covered until we receive your enrollment form. No salesman will call. DETACH ALONG DOTTED LINE AND INSERT IN POSTAGE PAID ENVELOPE ENROLLMENT FORM Physicians Mutual PROTECTION PLUS Hospital Plan • Individual Plan4 • All-Family Plan1 • Husband-Wife Plan3 • One-Parent Family Plan2 If you select the All-Family or Husband-Wife Plan, please list name, date of birth and sex of your spouse below. I-] OPTION A 512 -- Pays $1,500.00 a month ($50.00 a day) from the very first day for sickness or accident. [-I OPTION B 511 -- Pays $900.00 a month ($30.00 a day) from the very first day for sickness or accident. First PLEASE PRINT Middle Initial Lasl AGE DATE OF BIRTH Month Day Year SEX M F INSURED'S NAME SPOUSE'S NAME ADDRESS CITY (Street) (Apt No.) STATE. ZIP. PHONE NO.l ) (for customer service only) I enclose my first month's premium of $1 00 and apply to Physicians Mutual Insurance Company, Omaha, Nebraska, for the Physicians Mutual Hospital Policy (P510 Series) and the Plan selected above I understand the policy is not in force until actually issued, and benefits will not be paid for pre-existing conditions (health problems that became evident or were treated prior to the effective date of the policy) unless confinement begins one year after the issue date Do you intend this policy to replace insurance presently in force? Yes • No • SIGNED X. DATE Insured's Signature SIGN--DO NOT PRINT Please make check or money order payable to PHYSICIANS MUTUAL. FORM E-510-1 665 7Q 71 512/511-4322IL We're just a free phone call away! E 3 off * o. H >. ° s g 32 51 2.8 0) ̂ CO T3 ** #- * s s s => E c « w a o >» Call 800-228-9100. We pay for the call. If we can answer any questions or be of help in any way, don't hesitate to call us. Dial toll-free from anywhere in the continental United States. Our Customer Service staff is here to serve you anytime from 8 a.m to 8 p.m.. Central Time, Monda> through Friday. We're here when you need us* Physicians Mutual Rated A+ (Excellent) Physicians Mutual has been awarded the high­ est rating--A+ (Excellent) from A.M. Best Company, recognizing our financial stability and sound operating performance. At its founding in 1902, the Company special­ ized in health insurance for physicians, surgeons and dentists only. Then in 1962, recognizing the growing need for extra protection against the rising cost of hospitalization, we began offering supplemental insurance to the general public. . Headquartered in Omaha . . . licensed in all 50 states and the District of Columbia, Physi­ cians Mutual is proud of its record of service, l.ast year alone, we paid claims totalling over $100,000,000 on all policies. No matter how large or how small your claim, you can depend on us ... "This policy is the greatest investment / ever made and I cannot thank you enough for all your help and consideration. Everyone should have this kind of extra help. It has been a Godsend. " Mrs. Lois G. Glad, Idaho ... to back your policy with fast claims service. "/ want to thank you for your expert service and your prompt care for my illness from my stroke. " You are a w onderful company and I will always he thankful to you for your great service. "I don'/ know what I would have done without my policy which / have had for about fifty years. "I have almost fully recovered from my stroke and / want to thank you for all you have done. " Dr. Nelson B. Truesdell, Kansas We're here when you need us®