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Consumer Authorization Form.pdf

aca-consumer-authorization-form-template.pdf
Preview of Consumer Authorization Form
🔗 Source: thehealthinsuranceplace.com
📊 Size: 815 KB
📄 Pages: 1 page
⬇️ Downloads: 83

Summary

The Department of Health and Human Services requires licensed sales agents to obtain consumer consent prior to providing assistance to Marketplace consumers. By signing the form, consumers acknowledge that the agent has informed them of the functions and responsibilities of agents in the Marketplace and grant permission to the authorized licensed sales agent to conduct activities such as searching for consumer applications, assisting with eligibility applications, plan selection and enrollment, and ongoing account maintenance. Consumers can revoke, limit, or change their consent at any time and are not required to provide information they do not want to share. The agent must keep personal identifiable information (PII) private and secure, and follow applicable privacy and information security standards.

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Description

The Department of Health and Human Services requires licensed sales agents to obtain consumer consent prior to providing assistance to Marketplace consumers.

Technical Information

  • File Format: PDF
  • File Size: 815 KB
  • Pages: 1
  • Language: EN
  • Total Downloads: 83
  • Last Updated: 1 month ago

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This PDF document about Consumer Authorization Form provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into Consumer Authorization Form.

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