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Can Employees Get Marketplace Coverage – ACA Questions

Yes, employees in the United States can get marketplace insurance. Most job-based health insurance plans are designed for your employer to pay a portion of your monthly premium. However, if you enroll in a Marketplace plan instead, the employer won’t contribute to your insurance premium. If you have job-based insurance and want to check out options in the Health Insurance Marketplace, you can do that here. But there are several important things to know first. You can change to a Marketplace plan if you have job-based coverage now, but you probably won’t qualify for a premium tax credit or other savings. As long as the job-based plan is considered affordable and meets minimum standards, you won’t qualify for savings. The Chart below will give you more information.

A new ACA rule fixes the Marketplace “Family Glitch”– Increasing the number of individuals eligible for Marketplace coverage in 2023. Until now under the Patient Protection and Affordable Care Act (ACA), employer offered coverage was considered affordable for all family members to whom an employer’s offer extends if the premium for the employee’s self-only coverage was considered affordable. The premium required to cover family members was not considered in deciding on subsidy. However, beginning plan year 2023, if an employee is offered employer coverage that extends to their family members, the affordability of employer coverage will be based on the family premium cost, not the Employee only premium cost. Family members will be eligible for financial assistance on the Marketplace if the employee’s family premium cost is considered unaffordable.

OPTIONS FOR COVERING THEIR FAMILY
● Split Coverage (Employer and Marketplace): Employee could enroll in the affordable employer coverage, while
their family members enroll in a Marketplace plan with APTC/CSRs if otherwise eligible.
● Employer Coverage Only: Whole family could enroll in the employee’s offer of employer-sponsored coverage.
While someone is enrolled in employer coverage, they aren’t eligible for financial assistance on a Marketplace plan.
● Marketplace Coverage Only: Employee could decline the affordable employer coverage, and the whole family could
enroll in a Marketplace plan. They will pay full price for the employee’s portion of the Marketplace plan premium, while
other family members’ portions would be lowered by using APTC and/or CSRs if they are otherwise eligible.

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)

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    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)

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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 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.

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        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
        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.

        Ambetter 2023 Renewal – Check Status – Update Plan – Shop New Health Plans – Start Here:

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

          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 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:

          • Renewing Your Plan
          • Updating Income
          • Changing your Coverage
          • Change of Address
          • Add Dependent
          • How to pay Bill
          • Getting ID Card
          • Uploading Proof of Income or Proof of Citizenship
          • Answering general questions

          Ambetter 2022: Get Covered- Renew – Check Status Now! Get ID Card. Update Account. Let Us Help

          Check status of your 2022 Ambetter Health Insurance. Let us confirm your enrollment and assist with ongoing support.

            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 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

            Open Enrollment

            The Health Insurance Exchange is now active! Open enrollment is here so all Americans can shop for affordable health insurance.

            If you Earn Over $230 a week click here to review the Health Exchange Plans.

             Low income, earn under $230 a week, click here for Low Income assistance.

            Once you select an option above, you will be able to explore plans and see if you are eligible for lower deductibles and reduced rates.

            About 56% of all Americans can get Federal Money to help pay for their health insurance.

            Ambetter vs Molina 2023: Sign Up. Check Status! Get ID Card. Update Account – Let Us Help! New Free SILVER Plans!

            Get Health Insurance. New Open Enrollment. Check status of your 2023 Marketplace Health Insurance. Let us confirm your enrollment and assist with ongoing support.

              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 Matt Palka NPN 16723937 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: Matt Palka NPN 16723937 Phone Number: 615-469-5424 Email Address: Matt@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 Matt Palka if I decide to work with another agent. Matt Palka 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.

              As Federally Facilitated Marketplace agents we can assist with:

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

              Ambetter, BCBS, Bright, Cigna, Molina, Oscar – Get Health Insurance – Check Status. Get ID Card / Pay Premium / Update Address

              New Open Enrollment! Check status of your 2021 Marketplace Health Insurance. Let us confirm your enrollment and assist with ongoing support.

                First Name (required)

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                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.

                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

                Check Ambetter Status: Get ID Card, Pay Bill, Change Address.

                Check status of your 2021 Ambetter Health Insurance. Let us confirm your 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 Matt Palka NPN 16723937 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: Matt Palka NPN 16723937 Phone Number: 615-469-5424 Email Address: Matt@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 Matt Palka if I decide to work with another agent. Matt Palka 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.

                  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