Katz Insurance Group

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Marketplace Consent Form

We need your consent!

We appreciate your trust and look forward to helping you select and enroll in health insurance.

The Insurance Marketplaces require us to obtain and document your consent for our assistance with enrolling in coverage and/or applying for advance premium tax credit or cost sharing reduction through the marketplaces.

For your convenience, you can access a brief consent form on our website at the link below:

Marketplace Consent Form

Please take just a moment to enter your information (including signature), save on your device, and return to us via email at harold.kaufman@onedigital.com.

If you have any questions, we are here to help!  Give us a call at 703-707-8270.

Attention: This website is operated by Virginia Medical Plans|a OneDigital Company, and is not the Health Insurance Marketplace website. In offering this website, Virginia Medical Plans|a OneDigital Company is required to comply with all applicable federal laws, including the standards established under 45 CFR 155.220(c) and (d) and standards established under 45 CFR 155.260 to protect the privacy and security of personally identifiable information. This website may not display all data on Qualified Health Plans being offered in your state through the Health Insurance Marketplace website. To see all available data on Qualified Health Plan options in your state, go to the Health Insurance Marketplace website at healthcare.gov.

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