$0 Healthcare Insurance - Find Out If You Qualify

$0 Healthcare Insurance - Find Out If You Qualify

95% of Customers Qualify for $0 ACA/Health Coverage

Welcome - Just a few questions to finalize your application:

Time: 2 minutes or less

Where should we send your insurance cards?

PO Box is not accepted. Physical address only.

I hereby authorize Marisol Kimberly Marin to act as my authorized representative for health insurance matters, including but not limited to, enrolling myself and, if applicable, my household, in a Qualified Health Plan through the Federally Facilitated Marketplace. This consent encompasses the following authorizations for Marisol Kimberly Marin:

1. To access and manage any existing Marketplace applications;

2. To facilitate eligibility assessments and enrollment in Marketplace Qualified Health Plans or other related government programs (e.g., Medicaid, CHIP, advance tax credits);

3. To provide necessary ongoing support and enrollment assistance;

4. To handle inquiries from the Marketplace related to my application;

5. To switch my plan to a superior option if available or otherwise act as my agent of record, subject to my right to alter this authorization;

6. To acknowledge my income is below 100% of the federal poverty level and I agree to actively seek employment that pays at least the minimum wage.

I affirm that Marisol Kimberly Marin is permitted to use my personally identifiable information (PII) solely for the purposes listed above, pledging to maintain the confidentiality and security of such information. I declare that all information provided for my eligibility and enrollment will be accurate to the best of my knowledge. I acknowledge that sharing additional personal or health information beyond what is required for application purposes is not obligatory. This consent is effective until revoked, which I may do at any time via email, text, or phone call to Marisol Kimberly Marin at the contact details provided below.

Primary Writing Agent: Zachery Hawthorne & Kimberly Marin

National Producer Number:

Phone: ‭+1 (480) 246-1518‬

Email: [email protected]

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Let's Start With Some Basic Questions.

Takes 3 minutes or less.

Select your spouse gender
Select your first dependent gender
Enter your 2nd dependent gender
Enter your 3rd dependent's gender
Select your 4th dependent gender
Select your 5th dependent gender

I hereby affirm that I have thoroughly reviewed and understood the contents of this attestation. Consequently, I hereby authorize to act in the capacity of my broker, representing both myself and the members of my household, specifically for the purpose of enrolling in a qualified Health Plan through the Federally Facilitated Marketplace. Furthermore, I expressly consent to permit the aforementioned agent to access, view, and utilize my confidential information strictly for the purposes delineated herein.

1. Search for an existing Marketplace Plan;

2. Complete an application for eligibility and enrollment in a Marketplace Plan;

3. Provide ongoing maintenance and enrollment assistance;

4. Respond to inquiries from the Marketplace regarding my application.

I hereby declare that the information I have provided is both accurate and truthful for the purposes of my Marketplace Health Insurance Application. I affirm that I have read and agreed to the terms and conditions set forth, and I understand that the agent specified earlier will securely store and utilize my Personally Identifiable Information (PII) solely for the purposes outlined above. By submitting this document, I also affirm compliance with the income eligibility criteria as indicated in the chart below, assert that I am not a recipient of Medicare, Medicaid, or Employer Coverage, and declare that I do not use tobacco products, thereby making me eligible for Zero Premium Health Coverage.

I acknowledge that my consent is effective until such time as I withdraw it. Withdrawal of consent can be executed by sending an email to .

By submitting your mobile number, you agree to receive texts, calls, and automated messages from . To opt-out, reply "STOP".

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How It Works

Eligibility for a complimentary health plan is based on household income.

If your income falls within the blue bracket, you qualify.

Don't wait, submit the form below and find out!

Family Size 100% 150% 200% 400%
1 $14,580 $21,870 $29,160 $58,320
2 $19,720 $29,580 $39,440 $78,880
3 $24,860 $37,290 $49,720 $99,440
4 $30,000 $45,000 $60,000 $120,000
5 $35,140 $52,710 $70,280 $140,560

By using our services, you agree to the following terms:

Representation: You grant the authorized agent, as mentioned in the attestation disclaimer, the authority to act on your behalf concerning health insurance matters, including enrollment, renewals, and related decisions.

Accuracy: You confirm that all information provided is true and accurate. False or misleading information can lead to the termination of services.
Revocation: Your consent remains in effect until you revoke it. You may revoke or modify your consent at any time.

Limitation of Liability: The authorized agent and associated entities are not liable for any errors or omissions in the services provided or for any damages, including indirect or consequential damages.

Privacy Policy:

Data Collection: Our Agents collect Personally Identifiable Information (PII) solely for the purposes mentioned in our Comprehensive Attestation Agreement.
Data Protection: We are committed to ensuring the privacy and safety of your PII. Your data will not be shared for any purposes other than those explicitly stated in our agreement.

Income Attestation: We use your income information solely to determine eligibility for health insurance programs and potential subsidies.

TCPA Disclaimer:

By providing your phone number, you expressly consent to receive auto-dialed and/or pre-recorded telemarketing calls, text messages, and/or emails from the authorized agent mentioned in the attestation disclaimer at the phone number and email address you provided, including for marketing purposes. You understand that consent is not a condition of purchase. Message and data rates may apply.

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