ACA Privacy Consent

By asking Michael Malasnik, a licensed health insurance broker, for assistance with selecting and/or enrolling in a new plan - I hereby give consent to Michael to gather any private information necessary to assist me and/or my family with comparing plans and enrolling in an ACA Marketplace or other insurance plan. 

 

This consent begins when I request help and has no expiration date unless withdrawn by either party, or your ceasing to be a client. All personal information gathered will remain private and confidential. 

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                                               I Agree - Back to Individual & Family Plans 

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