I hereby give my permission to Marker Coverage Advisors to serve as the health insurance agent or broker for myself and my entire household, if applicable, for purposes of evaluating, enrolling in, and maintaining health insurance coverage, including:

• Qualified Health Plans offered through the Federally Facilitated Marketplace

• Qualified Health Plans offered through State Based Exchanges.

• ACA-compliant health insurance plans purchased directly from insurance carriers (off-exchange)

By consenting to this agreement, I authorize Marker Coverage Advisors and its affiliates to:

• View and use the confidential information provided by me in writing, electronically, or by telephone for the purposes of:

  • Searching for an existing Marketplace or carrier application

  • Completing applications for eligibility and enrollment in Marketplace coverage, off-exchange coverage, or other health insurance programs for which I may qualify

  • Submitting applications directly to health insurance carriers when enrollment is completed outside of an exchange

  • Providing ongoing account maintenance, enrollment assistance, and carrier communications as necessary

  • Responding to inquiries from a Marketplace, exchange, or health insurance carrier regarding my application or coverage

I designate Marker Coverage Advisors as my Agent of Record (AOR) for all matters related to my health insurance coverage. This designation authorizes Marker Coverage Advisors to represent and assist me in all interactions with health insurance carriers, exchanges, and related entities.

I authorize Marker Coverage Advisors and its affiliates to collect, store, and use my Personally Identifiable Information (PII) solely for the purposes stated above and to keep my information private and secure. My PII will not be shared for any purposes outside of those expressly authorized in this agreement.

I consent to receiving phone calls, text messages, and emails, including automated or templated communications, for the purpose of collecting information, completing enrollment, and providing service support. Standard message and data rates may apply. Messaging frequency may vary. Consent is not a condition of purchase. I may reply STOP at any time to opt out of SMS communications.

I understand that eligibility for enrollment may be based on Open Enrollment periods or Special Enrollment Periods, including but not limited to loss of coverage, household changes, or other qualifying life events.

Scope of Appointment:
I appoint Marker Coverage Advisors as my representative for the purposes described above for a period of up to 10 years, unless revoked earlier by me.

Revocation:
I understand that this authorization remains in effect until I revoke it. I may revoke or modify my consent at any time by contacting Marker Coverage Advisors at 952-522-3838.

I also authorize Marker Coverage Advisors, if applicable, to notify a prior Agent of Record of this change and to request revocation of any previous AOR designation on my behalf, as permitted by law.