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Health Insurance

Female Doctor Takes Notes and Smiles at Her Middle-Aged Male Patient

Finding the right Health Insurance products can be challenging in today’s insurance environment. Hostetter Agency, Inc. offers a complete line of individual health insurance products that are crafted to meet you and your family’s specific needs. We work with several different top-rated insurance companies, and will place your account with the company that will provide you with the coverage and benefits you want.

Hostetter Agency, Inc. can help you make sound, informed decisions about issues affecting your health insurance needs. Our philosophy is to fully understand your objectives and then translate them into solutions that provide assurance and peace-of-mind.

Our health insurance products include:

Consumer Assistance Authorization Maryland Health Connection Govt Exchange Consent Form

The Centers for Medicare and Medicaid Services (CMS) requires health insurance agents and brokers to obtain a client’s consent prior to helping them apply for a subsidy and/or enroll in a Maryland Health Connection (MHC) Govt Exchange Marketplace Qualified Health Plan (QHP). ​
By filling out this form you give the Hostetter Agency Inc and its Representatives permission to help you to: ​

  1. Apply and enroll for MHC Govt Exchange Marketplace Affordable Care Act (ACA) coverage and/or financial assistance for you and your family (if applicable)
  2. Check the status of your coverage and make updates throughout the year at your request; and​
  3. Have your permission indefinitely or until you revoke it in writing.

Maryland Health Connection Govt Exchange Marketplace Consent Form

  • MM slash DD slash YYYY
  • Legal Disclosure
  • This form does not have the force and effect of law and is not meant to obligate you in any way, and is intended only to provide documented permission by you to obtain assistance from your chosen agent or broker.
  • This field is for validation purposes and should be left unchanged.