Please answer a few questions to get your insurance quote!

First Name *

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Are you a current smoker?

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By answering YES you attest to the following- 1. This is a request to ENROLL you in the best NO COST plan available in your area based on our expertise in the market 2.If you are single and making below 150% of the poverty line we will have enough information to ENROLL just by filling out the form. 3. If you already have a marketplace plan we may switch you to a better plan if one is available, if you are already on the best plan possible you are requesting Paola Rodriguez to take over as your agent of record from this point forward unless notified of a change 4. I agree that if I am making less than $1100 per month and I am looking for work making at least minimum wage. 5. If there aren't any no-cost plans available in your area you will be notified and can be enrolled in the next best available option *