Online Enrollment Tool - InsuringMyself.com LLC - Independent Insurance Agency

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Online Enrollment Tool

Health Insurance
If you're looking to enroll into a healthcare plan that qualifies as Minimum Essential Coverage under the Affordable Care Act, aka "Obamacare", then just follow the link below.

Easy Instructions
1. Enter your zip code, click "See Plans"

2. Select Enrollment Year - January 1st effective plans can be enrolled in from November 1st - December 15th.

3. Enter Household Information:
Birth Date
Smoking Status
Whether Or Not Member Needs (is applying for) Coverage
Add Additional Household Members As Necessary

4. Enter Household's Adjusted Annual Gross Income
(for determination and estimation of subsidies)

If you have questions or need help - please contact us!

Call 847-668-9194




PRIVACY NOTICE STATEMENT
We are authorized to collect personally identifiable information (PII) from you by the Centers for Medicare and Medicaid Services (CMS). Any PII we collect is used to assist you in the enrollment process for health insurance or other qualifying insurance.

If you choose to give us PII, we may share this information with internal clerical staff, staff of intermediaries, and other personnel as required to complete your enrollment. PII is used or disclosed only under the following circumstances: in the insurance application process, assistance in payment processing, and when required to complete a task as directed by you.

The request to collect PII is voluntary under applicable laws. If you choose not to provide us with the PII requested, or not to respond to certain questions, we may not be able to assist in your enrollment process or to solve any issues that need to be addressed.

PII that is provided will be submitted to CMS (a federal agency) and will be maintained in a federal System of Records.
 
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