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Empoderar a las personas para que tengan éxito

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Formulario de consentimiento para agentes y corredores del mercado

Registered agents and brokers assisting consumers apply for and enroll in Marketplace coverage must document consumer consent prior to accessing or updating their Marketplace information. This is protection for consumers from unscrupulous persons who are only seeking monetary gain rather than what is best for consumers.

Date

I, give my permission to Sam Paiz Sr., NPN# 2877609

10700 North Fwy Suite 470

Houston, Texas 77037

281 - 977 - 3730

© Copyrights by LMS™. All Rights Reserved.

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