Assist | Wynstonian Advocates

Acknowledgements and PPACA Assistance: I acknowledge that I have engaged the assistance of an independent Health Insurance Agent licensed in the state of Florida/ certified by CMS assist me in the enrollment process through Healthcare.gov In doing so, I understand and agree that all information supplied by me is accurate to the best of my knowledge. If proof of income or any other information is required by the Marketplace, it is my sole responsibility to provide it. I understand that any changes made by me can affect the eligibility/status of my health insurance. By submitting this application, I am expressly authorizing Wynstonian Health Advocates, their agents or partner companies to contact me at the number and address provided with insurance quotes or to obtain additional information for such purpose, via live, prerecorded or autodialed calls, text messages or emails for a period of 3 years. I understand that submitting this application is not a condition of purchasing any property, goods or services and that I may revoke my consent at any time. By pressing "submit" Customer acknowledges review of HIPPA Privacy information available on this website at time of enrollment. Customer agrees to allow Agent access to their Healthcare.gov account to make updates/uploads as necessary and to be able to review and advise Customer, year to year, to ensure that Customer has made a sound decision in their Marketplace Healthcare plan selection for that year

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