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ACA Consumer Consent Form

Effective June 18, 2023, agents and brokers must document consent from all consumers who enroll in a Marketplace plan. This consent must be received before aiding consumers with their enrollments. The consent form must provide the date consent was given, the name of the consumer or their authorized representative, and the name of the agent, broker, or agency being granted consent. Clients are allowed to rescind this consent at any time. Forms can be emailed to licensedagent@altabenefitsllc.com.

This form is fillable. It is best viewed in Adobe PDF Reader.

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The American Rescue Plan Act of 2021 has enabled more individuals and families to qualify for help paying for health coverage. For those who already have a tax credit (subsidy), they may qualify for even more help. Your health insurance premiums after these new savings will go down.

You may be able to get more savings and lower costs on Marketplace health insurance coverage due to the American Rescue Plan Act of 2021. Under the new law:

More people than ever before qualify for help paying for health coverage, even those who weren’t eligible in the past.
Most people currently enrolled in a Marketplace plan may qualify for more tax credits.
Health insurance premiums after these new savings will go down.

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