We need to get a few things out of the way first. This process should only take you about 5 minutes.
By signing this form, you agree to meet with a Licensed Sales Representative to discuss Affordable Care Act products. The Licensed Sales Representative is either employed or contracted by an ACA plan and may be paid based on your enrollment in a plan. They do not work directly for the federal government. Signing this form does not affect your current or future enrollment in a ACA plan, enroll you in a ACA plan or obligate you to enroll in a ACA plan. All information provided on this form is confidential.