Consent to Contact

By submitting a quote request, contact form, consent form, or similar form on this website, you authorize Shields & Associates, INC. to contact you using the information you provide, including your name, phone number, and email address.

You provide prior express written consent for Shields & Associates, INC. to contact you regarding insurance products and services, including health insurance, Medicare, supplemental insurance, life insurance, and related products. Contact may be made by phone call, text message/SMS, email, voicemail, artificial or prerecorded voice, automated technology, autodialer, and AI-generated or AI-assisted outbound calling technology.

You agree that Shields & Associates, INC. may contact you even if your phone number is listed on a federal, state, or internal Do Not Call list. Your consent is not required as a condition of purchasing any product or service. Message and data rates may apply.

You may revoke your consent at any time by replying STOP to text messages, clicking unsubscribe in emails, requesting removal during a phone call, or contacting Shields & Associates, INC. directly.

Consent Records

For compliance and recordkeeping purposes, Shields & Associates, INC. may store information related to your consent, including your name, phone number, email address, date and time submitted, IP address, website page, form source, and the consent language displayed at the time of submission.

Name

Phone

Message

By checking this box and submitting this form, I provide my prior express written consent for Shields & Associates, INC. to contact me at the phone number and email address I provided regarding insurance products and services, including health insurance, Medicare, supplemental insurance, life insurance, and related products.

I agree that Shields & Associates, INC. may contact me by phone call, text message/SMS, email, voicemail, artificial or prerecorded voice, automated technology, autodialer, and AI-generated or AI-assisted outbound calling technology, even if my number is listed on a federal, state, or internal Do Not Call list.

I understand that my consent is not required to purchase any product or service. Message and data rates may apply. I may revoke my consent at any time by replying STOP to text messages, clicking unsubscribe in emails, or contacting Shields & Associates, INC. directly.

I agree to be contacted by Shields & Associates, INC.

The form is used to help to find insurance for you and your family. The information provided must be accurate for the subsidies to be accurate. Failure to provide the correct information could result in claims being invalidated or the termination of your insurance policy. By submitting information, you confirm that the information is accurate to the best of your knowledge.

Shields and associates Insurance Agency will however call,text or email you if our Marketplace providers request anything from you. You will receive all policy documents in the mail. Please contact us at info@shieldsandassociates.com if you need any further assistance.