To comply with HIPAA privacy laws and CMS regulations, we must receive your consent before discussing or assisting with your ACA Marketplace application or health plan options.

This step is required to ensure your privacy and security.

It protects your personal and medical information.

It confirms your authorization for us to access and use your information to assist with enrollment.

You may provide consent electronically or verbally if you are unable to complete the form online. Consent must be renewed annually for us to continue supporting you.