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.

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