Marketplace/ACA Health Insurance

By checking this box, I hereby provide consent to my agent (Stephen McDade) to enroll me and/or my family in a health insurance plan through the ACA Marketplace at no cost to me. If I already have a plan, I request that (Stephen McDade) become my Agent of Record and switch me to a better plan if one is available.

If your income is $0 (or less than the Federal Poverty Limit), you attest that your estimated income for 2023 will be at least the Federal Poverty Limit for your state and household requirements. If your income will be less than (or greater than) those limits, you agree to notify us or the marketplace of any changes or updates as soon as possible. Failure to notify us of any changes may result in your eligibility being affected. Job Seeking: I Agree to notify my agent or healthcare.gov if my estimated income for 2023 changes.

In some cases, it may be necessary to verify your income. If income verification is required in order to complete your enrollment, do you authorize your agent (Stephen McDade) to submit an income attestation letter on your behalf with the information that you have provided?

By checking this box, I provide my express consent to my agent (Stephen McDade) a limited power of attorney to enroll me in a health insurance plan and to automatically enroll me in a plan at renewal.