$0 Healthcare Insurance - Find Out If You Qualify

$0 Healthcare Insurance - Find Out If You Qualify

$0 ACA/HEALTH COVERAGE

WITHOUT HAVING TO SPEAK TO AN AGENT

Welcome - Just a few questions to finalize your application for $0 Health Insurance:

Time: 2 minutes or less

Where should we send your insurance cards?

PO Box is not accepted. Physical address only.

Moving right along, we just need a quick signature to continue:

I hereby authorize Logan Holle 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 Logan Holle:

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 Logan Holle 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 Logan Holle at the contact details provided below.

Primary Writing Agent: Logan Holle

National Producer Number: 18496827

Phone: +602-699-4545

Email: loganholleaca@gmail.com

I agree to terms & conditions provided by the Nationwide Health Alliance. By providing my phone number, I agree to receive text messages from the business.

Clear

Next, we need to check your program eligibility:

This is required by Healthcare.gov to verify your identity.

Tell us about your current coverage:

IMPORTANT: If you are currently enrolled in a Medicare or Medicaid plan you will not qualify.

However, if you recently lost coverage please continue with the application.

We are here to help:

Tell us about your current employment status:

READ CLOSELY

  • You = 1

  • Spouse = 1

  • Dependents you claim on your taxes(Ie, children, parents you pay for their cost of living, adopted family members) = 1 each

To qualify for $0 Health Coverage you must make below $1,822 per month.

To qualify for $0 Health Coverage you must make below $2,465 combined per month:

IMPORTANT: You and your spouse cannot make more than $2,465 per month combined. Please verify before continuing

To be eligible for $0 Health Coverage, your income must be within the specified range, which varies based on your family size.

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To be eligible for $0 Health Coverage, your income must be within the specified range, which varies based on your family size.

$
$

You must complete the information below even if you are not wanting to enroll them in a plan.

Select your spouse gender

Next, we need to check program eligibility for your spouse:

This is required by Healthcare.gov to verify your spouses identity.

You must complete the information below even if you are not wanting to enroll them in a plan.

Select your first dependent gender

Next, we need to check program eligibility for your dependents:

This is required by Healthcare.gov to verify your dependents identity.

You must complete the information below even if you are not wanting to enroll them in a plan.

Enter your 2nd dependent gender

You must complete the information below even if you are not wanting to enroll them in a plan.

Enter your 3rd dependent's gender

You must complete the information below even if you are not wanting to enroll them in a plan.

Select your 4th dependent gender

You must complete the information below even if you are not wanting to enroll them in a plan.

Select your 5th dependent gender

You made it to the last page, please sign below to finalize your program submission:

I hereby affirm that I have thoroughly reviewed and understood the contents of this attestation. Consequently, I hereby authorize Logan Holle 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 logan@nhacares.com.

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

Clear
CONTINUE

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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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