Placement Ideas

I have a 59 year old male, smoker. He had a stint and pacemaker put in place in 2011. He's on coreg, effient, and pletal, wanting an additional $20,000. Greatly appreciate any thoughts and opinions that would help with better placement!
 
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Assuming no CHF:

-TA Standard (will be expensive due to smoking)
-*Maybe* Settlers Silver
-American Continental

I would personally write him with American Continental.
 
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