All posts by Obamacare

Missouri Obamacare – Get ID Card – Add Dental and Vision – Renew 2023 Plan.

Need assistance? Get ID Card – Check Status – Update Plan Benefits.

    First Name (required)

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    YES! I give consent. Help me with my Marketplace Account.

    Consent Form for Assistance with Marketplace Health Insurance
    Yes, I understand by checking the agreement box I allow access to my Marketplace Account. I give my permission to Licensed and Certified FFM Agent Andrew Bennett NPN 10224328 to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of enrollment in a Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:
    -Searching for an existing Marketplace application
    -Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace or State Based Exchange premiums
    -Providing ongoing account maintenance and enrollment assistance, as necessary
    -Or responding to inquiries from the Marketplace regarding my Marketplace application
    -Acting as my sole Agent of Record on the chosen insurance policy
    I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above.
    I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge. I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I also understand it is my duty to notify the agent or Marketplace / State Based Exchange if my income changes. Once an eligibility application is submitted, my stated income will be listed on the eligibility notice. If my income or tax filing changes, I understand I must contact my agent or Marketplace / State Based Exchange immediately to update the income status on my eligibility application.
    Name of Primary Writing Agent: Andrew Bennett NPN 10224328 Phone Number: 4199316514 Email Address: Andrew@quotefinder.org
    I understand that my consent remains in effect until I revoke it. I may revoke or modify my consent at any time by emailing my agent. It is my duty to notify Andrew Bennett if I decide to work with another agent. Andrew Bennett cannot be held responsible for application changes performed by another agent or policy changes that occur without his assistance.
    I understand that an annual review is advised, so the Agent can help me review potential income or tax filing changes and potential changes to plan offerings.
    Free Service: I understand there is no cost associated with utilizing the assistance of a Marketplace / State Based Exchange Agent.
    Cancellation: You are welcome to cancel your Marketplace OR State Based Exchange plan at any time by calling the number on your insurance card. Termination dates cannot be backdated.

    TX-Obamacare – Get ID Card – Add Dental and Vision – Renew 2023 Plan

    Need assistance? Get ID Card – Check Status – Update Plan Benefits.

      First Name (required)

      Last Name (required)

      Gender (required)

      MF

      Date of Birth (required)

      State

      Zip (required)

      Email (required)

      Phone (required)

      YES! I give consent. Help me with my Marketplace Account.

      Consent Form for Assistance with Marketplace Health Insurance
      Yes, I understand by checking the agreement box I allow access to my Marketplace Account. I give my permission to Licensed and Certified FFM Agent Kamera McCain NPN 7276768 to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of enrollment in a Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:
      -Searching for an existing Marketplace application.
      -Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace or State Based Exchange premiums.
      -Providing ongoing account maintenance and enrollment assistance, as necessary.
      -Or responding to inquiries from the Marketplace regarding my Marketplace application.
      -Acting as my sole Agent of Record on the chosen insurance policy.
      I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above.
      I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge. I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I also understand it is my duty to notify the agent or Marketplace / State Based Exchange if my income changes. Once an eligibility application is submitted, my stated income will be listed on the eligibility notice. If my income or tax filing changes, I understand I must contact my agent or Marketplace / State Based Exchange immediately to update the income status on my eligibility application.
      Name of Primary Writing Agent: Kamera McCain NPN 7276768 Phone Number: 3106224922 Email Address: Kammy@quotefinder.org
      I understand that my consent remains in effect until I revoke it. I may revoke or modify my consent at any time by emailing my agent. It is my duty to notify Kamera McCain if I decide to work with another agent. Kamera McCain cannot be held responsible for application changes performed by another agent or policy changes that occur without her assistance.
      I understand that an annual review is advised, so the Agent can help me review potential income or tax filing changes and potential changes to plan offerings.
      Free Service: I understand there is no cost associated with utilizing the assistance of a Marketplace / State Based Exchange Agent.
      Cancellation: You are welcome to cancel your Marketplace OR State Based Exchange plan at any time by calling the number on your insurance card. Termination dates cannot be backdated.

      Obamacare: Get ID Card – Check Status – Add Dental and Vision – Renew 2023 Coverage

      Need assistance? Get ID Card – Check Status – Update Plan Benefits.

        First Name (required)

        Last Name (required)

        Gender (required)

        MF

        Date of Birth (required)

        State

        Zip (required)

        Email (required)

        Phone (required)

        YES! I give consent. Help me with my Marketplace Account.

        Consent Form for Assistance with Marketplace Health Insurance
        I give my permission to Licensed and Certified FFM Agent DANIEL RHOADS NPN 17847616 to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of enrollment in a Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:
        -Searching for an existing Marketplace application
        -Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace or State Based Exchange premiums
        -Providing ongoing account maintenance and enrollment assistance, as necessary
        -Or responding to inquiries from the Marketplace regarding my Marketplace application
        -Acting as my sole Agent of Record on the chosen insurance policy
        I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above.
        I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge.
        I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I also understand it is my duty to notify the agent or Marketplace / State Based Exchange if my income changes. Once an eligibility application is submitted, my stated income will be listed on the eligibility notice.
        If my income or tax filing changes, I understand I must contact my agent or Marketplace / State Based Exchange immediately to update the income status on my eligibility application.
        Name of Primary Writing Agent: DANIEL RHOADS NPN 17847616 Phone Number: 484-460-3922 Email Address: dan@rhoadslife.com
        I understand that my consent remains in effect until I revoke it. I may revoke or modify my consent at any time by emailing my agent. It is my duty to notify DANIEL RHOADS if I decide to work with another agent. DANIEL RHOADS cannot be held responsible for application changes performed by another agent or policy changes that occur without his assistance.
        I understand that an annual review is advised, so the Agent can help me review potential income or tax filing changes and potential changes to plan offerings.
        Free Service: I understand there is no cost associated with utilizing the assistance of a Marketplace / State Based Exchange Agent.
        Cancellation: You are welcome to cancel your Marketplace OR State Based Exchange plan at any time by calling the number on your insurance card. Termination dates cannot be backdated.

        Obamacare: Get ID Card – Check Status – Add Dental and Vision – Update Plan for 2023

        Need assistance? Get ID Card – Check Status – Update Plan Benefits.

          First Name (required)

          Last Name (required)

          Gender (required)

          MF

          Date of Birth (required)

          State

          Zip (required)

          Email (required)

          Phone (required)

          YES! I give consent. Help me with my Marketplace Account.

          Consent Form for Assistance with Marketplace Health Insurance
          Yes, I understand by checking the agreement box I allow access to my Marketplace Account. I give my permission to Licensed and Certified FFM Agent Laura Bass NPN 17627675 to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of enrollment in a Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:
          -Searching for an existing Marketplace application
          -Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace or State Based Exchange premiums
          -Providing ongoing account maintenance and enrollment assistance, as necessary
          -Or responding to inquiries from the Marketplace regarding my Marketplace application
          -Acting as my sole Agent of Record on the chosen insurance policy
          I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above.
          I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge. I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I also understand it is my duty to notify the agent or Marketplace / State Based Exchange if my income changes. Once an eligibility application is submitted, my stated income will be listed on the eligibility notice. If my income or tax filing changes, I understand I must contact my agent or Marketplace / State Based Exchange immediately to update the income status on my eligibility application.
          Name of Primary Writing Agent: Laura Bass NPN 17627675 Phone Number: 615-843-0572 Email Address: Laura@Quotefinder.org
          I understand that my consent remains in effect until I revoke it. I may revoke or modify my consent at any time by emailing my agent. It is my duty to notify Laura Bass if I decide to work with another agent. Laura Bass cannot be held responsible for application changes performed by another agent or policy changes that occur without her assistance.
          I understand that an annual review is advised, so the Agent can help me review potential income or tax filing changes and potential changes to plan offerings.
          Free Service: I understand there is no cost associated with utilizing the assistance of a Marketplace / State Based Exchange Agent.
          Cancellation: You are welcome to cancel your Marketplace OR State Based Exchange plan at any time by calling the number on your insurance card. Termination dates cannot be backdated.

          Texas Obamacare Plans 2023 – View Plans Now – Get Free Coverage for 2023!

          TEXAS: Get your Health Insurance coverage! We are here to assist with shopping, enrolling or renewing your 2023 Health Insurance:

            First Name (required)

            Last Name (required)

            Gender (required)

            MF

            Date of Birth (required)

            State

            Zip (required)

            Email (required)

            Phone (required)

            YES! I give consent. Help me with my Marketplace Account.

            Consent Form for Assistance with Marketplace Health Insurance
            Yes, I understand by checking the agreement box I allow access to my Marketplace Account. I give my permission to Licensed and Certified FFM Agent Kamera McCain NPN 7276768 to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of enrollment in a Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:
            -Searching for an existing Marketplace application.
            -Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace or State Based Exchange premiums.
            -Providing ongoing account maintenance and enrollment assistance, as necessary.
            -Or responding to inquiries from the Marketplace regarding my Marketplace application.
            -Acting as my sole Agent of Record on the chosen insurance policy.
            I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above.
            I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge. I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I also understand it is my duty to notify the agent or Marketplace / State Based Exchange if my income changes. Once an eligibility application is submitted, my stated income will be listed on the eligibility notice. If my income or tax filing changes, I understand I must contact my agent or Marketplace / State Based Exchange immediately to update the income status on my eligibility application.
            Name of Primary Writing Agent: Kamera McCain NPN 7276768 Phone Number: 3106224922 Email Address: Kammy@quotefinder.org
            I understand that my consent remains in effect until I revoke it. I may revoke or modify my consent at any time by emailing my agent. It is my duty to notify Kamera McCain if I decide to work with another agent. Kamera McCain cannot be held responsible for application changes performed by another agent or policy changes that occur without her assistance.
            I understand that an annual review is advised, so the Agent can help me review potential income or tax filing changes and potential changes to plan offerings.
            Free Service: I understand there is no cost associated with utilizing the assistance of a Marketplace / State Based Exchange Agent.
            Cancellation: You are welcome to cancel your Marketplace OR State Based Exchange plan at any time by calling the number on your insurance card. Termination dates cannot be backdated.

            Ambetter 2023: Get Covered – Check Status Now! Get ID Card. Update Account. Let Us Help

            Check status of your Ambetter Health Insurance. Let us confirm your 2023 enrollment and assist with ongoing support.

              First Name (required)

              Last Name (required)

              Gender (required)

              MF

              Date of Birth (required)

              State

              Zip (required)

              Email (required)

              Phone (required)

              YES! I give consent. Help me with my Marketplace Account.

              Consent Form for Assistance with Marketplace Health Insurance
              Yes, I understand by checking the agreement box I allow access to my Marketplace Account. I give my permission to Licensed and Certified FFM Agent Ashley Tozzi NPN 16124882 to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of enrollment in a Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:
              -Searching for an existing Marketplace application
              -Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace or State Based Exchange premiums
              -Providing ongoing account maintenance and enrollment assistance, as necessary
              -Or responding to inquiries from the Marketplace regarding my Marketplace application
              -Acting as my sole Agent of Record on the chosen insurance policy
              I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above.
              I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge. I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I also understand it is my duty to notify the agent or Marketplace / State Based Exchange if my income changes. Once an eligibility application is submitted, my stated income will be listed on the eligibility notice. If my income or tax filing changes, I understand I must contact my agent or Marketplace / State Based Exchange immediately to update the income status on my eligibility application.
              Name of Primary Writing Agent: Ashley Tozzi NPN 16124882 Phone Number: 216-255-9446 Email Address: Ashley@quotefinder.org
              I understand that my consent remains in effect until I revoke it. I may revoke or modify my consent at any time by emailing my agent. It is my duty to notify Ashley Tozzi if I decide to work with another agent. Ashley Tozzi cannot be held responsible for application changes performed by another agent or policy changes that occur without her assistance.
              I understand that an annual review is advised, so the Agent can help me review potential income or tax filing changes and potential changes to plan offerings.
              Free Service: I understand there is no cost associated with utilizing the assistance of a Marketplace / State Based Exchange Agent.
              Cancellation: You are welcome to cancel your Marketplace OR State Based Exchange plan at any time by calling the number on your insurance card. Termination dates cannot be backdated.

              As Federally Facilitated Marketplace agents we can assist with:

              • Change of Address
              • Add Dependent
              • How to pay Bill
              • Getting ID Card
              • Uploading Proof of Income or Proof of Citizenship
              • Answering general questions

              Obamcare 2023 – Joplin County MO – OBAMACARE – Get MORE FREE! $0 Deductibles – $0 Copays – All New Plans!

              Missouri: New Biden Plans. Lower Cost and FREE Bronze and Silver Plans! We are here to assist with shopping, enrolling or renewing your 2023 Health Insurance. Get Started:

              United Healthcare – Blue Cross Blue Shield – Ambetter – More Options for 2023!

                First Name (required)

                Last Name (required)

                Gender (required)

                MF

                Date of Birth (required)

                State

                Zip (required)

                Email (required)

                Phone (required)

                YES! I give consent. Help me with my Marketplace Account.

                Consent Form for Assistance with Marketplace Health Insurance
                Yes, I understand by checking the agreement box I allow access to my Marketplace Account. I give my permission to Licensed and Certified FFM Agent Laura Bass NPN 17627675 to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of enrollment in a Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:
                -Searching for an existing Marketplace application
                -Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace or State Based Exchange premiums
                -Providing ongoing account maintenance and enrollment assistance, as necessary
                -Or responding to inquiries from the Marketplace regarding my Marketplace application
                -Acting as my sole Agent of Record on the chosen insurance policy
                I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above.
                I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge. I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I also understand it is my duty to notify the agent or Marketplace / State Based Exchange if my income changes. Once an eligibility application is submitted, my stated income will be listed on the eligibility notice. If my income or tax filing changes, I understand I must contact my agent or Marketplace / State Based Exchange immediately to update the income status on my eligibility application.
                Name of Primary Writing Agent: Laura Bass NPN 17627675 Phone Number: 615-843-0572 Email Address: Laura@Quotefinder.org
                I understand that my consent remains in effect until I revoke it. I may revoke or modify my consent at any time by emailing my agent. It is my duty to notify Laura Bass if I decide to work with another agent. Laura Bass cannot be held responsible for application changes performed by another agent or policy changes that occur without her assistance.
                I understand that an annual review is advised, so the Agent can help me review potential income or tax filing changes and potential changes to plan offerings.
                Free Service: I understand there is no cost associated with utilizing the assistance of a Marketplace / State Based Exchange Agent.
                Cancellation: You are welcome to cancel your Marketplace OR State Based Exchange plan at any time by calling the number on your insurance card. Termination dates cannot be backdated.

                UHC -BCBS – Ambetter – More Options for 2023

                NEW 2024 Tenn Obamacare Plans for 2024 – $0 Preventive – FREE Primary Care – $0 Copay – No Deductible – Dental/Vision – UHC-BCBS-AMBETTER-CIGNA-OSCAR- 10 New Plans for 2024!

                Tennessee: New Biden Plans. Lower Cost and FREE Bronze and Silver Plans! We are here to assist with shopping, enrolling or renewing your 2024 Health Insurance. Renew your plans or Sign Up Now:

                United Healthcare – Blue Cross Blue Shield – Ambetter – More Options for 2024!

                  First Name (required)

                  Last Name (required)

                  Gender (required)

                  MF

                  Date of Birth (required)

                  State

                  Zip (required)

                  Email (required)

                  Phone (required)

                  YES! I give consent. Help me with my Marketplace Account.

                  Consent Form for Assistance with Marketplace Health Insurance
                  Yes, I understand by checking the agreement box I allow access to my Marketplace Account. I give my permission to Licensed and Certified FFM Agent Laura Bass NPN 17627675 to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of enrollment in a Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:
                  -Searching for an existing Marketplace application
                  -Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace or State Based Exchange premiums
                  -Providing ongoing account maintenance and enrollment assistance, as necessary
                  -Or responding to inquiries from the Marketplace regarding my Marketplace application
                  -Acting as my sole Agent of Record on the chosen insurance policy
                  I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above.
                  I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge. I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I also understand it is my duty to notify the agent or Marketplace / State Based Exchange if my income changes. Once an eligibility application is submitted, my stated income will be listed on the eligibility notice. If my income or tax filing changes, I understand I must contact my agent or Marketplace / State Based Exchange immediately to update the income status on my eligibility application.
                  Name of Primary Writing Agent: Laura Bass NPN 17627675 Phone Number: 615-843-0572 Email Address: Laura@Quotefinder.org
                  I understand that my consent remains in effect until I revoke it. I may revoke or modify my consent at any time by emailing my agent. It is my duty to notify Laura Bass if I decide to work with another agent. Laura Bass cannot be held responsible for application changes performed by another agent or policy changes that occur without her assistance.
                  I understand that an annual review is advised, so the Agent can help me review potential income or tax filing changes and potential changes to plan offerings.
                  Free Service: I understand there is no cost associated with utilizing the assistance of a Marketplace / State Based Exchange Agent.
                  Cancellation: You are welcome to cancel your Marketplace OR State Based Exchange plan at any time by calling the number on your insurance card. Termination dates cannot be backdated.

                  UHC -BCBS – Ambetter – More Options for 2024

                  Cleveland OBAMACARE 2023 – Get MORE FREE! – $0 Deductible Plans – $0 Copay Plans – FREE Preventive – Ask about the $0 OHIO Plan!

                  OHIO: Get your Health Insurance coverage! We are here to assist with shopping, enrolling or renewing your 2023 Health Insurance. Text: 216-255-9446 or shop now:

                    First Name (required)

                    Last Name (required)

                    Gender (required)

                    MF

                    Date of Birth (required)

                    State

                    Zip (required)

                    Email (required)

                    Phone (required)

                    YES! I give consent. Help me with my Marketplace Account.

                    Consent Form for Assistance with Marketplace Health Insurance
                    Yes, I understand by checking the agreement box I allow access to my Marketplace Account. I give my permission to Licensed and Certified FFM Agent Ashley Tozzi NPN 16124882 to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of enrollment in a Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:
                    -Searching for an existing Marketplace application
                    -Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace or State Based Exchange premiums
                    -Providing ongoing account maintenance and enrollment assistance, as necessary
                    -Or responding to inquiries from the Marketplace regarding my Marketplace application
                    -Acting as my sole Agent of Record on the chosen insurance policy
                    I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above.
                    I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge. I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I also understand it is my duty to notify the agent or Marketplace / State Based Exchange if my income changes. Once an eligibility application is submitted, my stated income will be listed on the eligibility notice. If my income or tax filing changes, I understand I must contact my agent or Marketplace / State Based Exchange immediately to update the income status on my eligibility application.
                    Name of Primary Writing Agent: Ashley Tozzi NPN 16124882 Phone Number: 216-255-9446 Email Address: Ashley@quotefinder.org
                    I understand that my consent remains in effect until I revoke it. I may revoke or modify my consent at any time by emailing my agent. It is my duty to notify Ashley Tozzi if I decide to work with another agent. Ashley Tozzi cannot be held responsible for application changes performed by another agent or policy changes that occur without her assistance.
                    I understand that an annual review is advised, so the Agent can help me review potential income or tax filing changes and potential changes to plan offerings.
                    Free Service: I understand there is no cost associated with utilizing the assistance of a Marketplace / State Based Exchange Agent.
                    Cancellation: You are welcome to cancel your Marketplace OR State Based Exchange plan at any time by calling the number on your insurance card. Termination dates cannot be backdated.

                    LEE County Florida – OBAMCARE – GET MORE FREE in 2023! $0 New $0 Plans by United Health!

                    Florida: Secure your Health Insurance coverage! New Zero Deductible Plans! We are here to assist with shopping, enrolling, or renewing your Health Insurance:

                      First Name (required)

                      Last Name (required)

                      Gender (required)

                      MF

                      Date of Birth (required)

                      State

                      Zip (required)

                      Email (required)

                      Phone (required)

                      YES! I give consent. Help me with my Marketplace Account.

                      Consent Form for Assistance with Marketplace Health Insurance
                      I give my permission to Licensed and Certified FFM Agent DANIEL RHOADS NPN 17847616 to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of enrollment in a Qualified Health Plan offered on the Federally Facilitated Marketplace. By consenting to this agreement, I authorize the above-mentioned Agent to view and use the confidential information provided by me in writing, electronically, or by telephone only for the purposes of one or more of the following:
                      -Searching for an existing Marketplace application
                      -Completing an application for eligibility and enrollment in a Marketplace Qualified Health Plan or other government insurance affordability programs, such as Medicaid and CHIP or advance tax credits to help pay for Marketplace or State Based Exchange premiums
                      -Providing ongoing account maintenance and enrollment assistance, as necessary
                      -Or responding to inquiries from the Marketplace regarding my Marketplace application
                      -Acting as my sole Agent of Record on the chosen insurance policy
                      I understand that the Agent will not use or share my personally identifiable information (PII) for any purposes other than those listed above. The Agent will ensure that my PII is kept private and safe when collecting, storing, and using my PII for the stated purposes above.
                      I confirm that the information I provide for entry on my Marketplace eligibility and enrollment application will be true to the best of my knowledge.
                      I understand that I do not have to share additional personal information about myself or my health with my Agent beyond what is required on the application for eligibility and enrollment purposes. I also understand it is my duty to notify the agent or Marketplace / State Based Exchange if my income changes. Once an eligibility application is submitted, my stated income will be listed on the eligibility notice.
                      If my income or tax filing changes, I understand I must contact my agent or Marketplace / State Based Exchange immediately to update the income status on my eligibility application.
                      Name of Primary Writing Agent: DANIEL RHOADS NPN 17847616 Phone Number: 484-460-3922 Email Address: dan@rhoadslife.com
                      I understand that my consent remains in effect until I revoke it. I may revoke or modify my consent at any time by emailing my agent. It is my duty to notify DANIEL RHOADS if I decide to work with another agent. DANIEL RHOADS cannot be held responsible for application changes performed by another agent or policy changes that occur without his assistance.
                      I understand that an annual review is advised, so the Agent can help me review potential income or tax filing changes and potential changes to plan offerings.
                      Free Service: I understand there is no cost associated with utilizing the assistance of a Marketplace / State Based Exchange Agent.
                      Cancellation: You are welcome to cancel your Marketplace OR State Based Exchange plan at any time by calling the number on your insurance card. Termination dates cannot be backdated.