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RESOURCES

Application
Authorization Form / Client Consent 
Links

ACA
INDIVIDUAL & FAMILY
Plan

IMPORTANT INFORMATION:  The Centers for Medicare and Medicaid Services requires health insurance agents and brokers to obtain a customer's consent prior to helping them apply for subsidy and/or enroll in a Marketplace Qualified Health Plan (QHP) or assistance with self-enrollment.  (Forms are linked to thumbnails.)

Client Consent Links

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MEDICARE

SELF ENROLLMENT
LINKS

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Let’s Start Working Together!

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