Read Statement: YOU AGREE TO HAVE ZECO MIAMI AUTHORIZED REPRESENTATIVES TO ACCESS YOUR PERSONALLY INDENTIFIABLE INFORMATION TO CONDUCT AN ONLINE SEARCH FOR YOU AND/OR FAMILY TO ASSIT WITH MARKETPLACE APPLICATION, ENROLLMENT AND ONGOING ACCOUNT MAINTENANCE FOR A YEAR STARTING TODAY. THE INFORMATION/ DOCUMENTATIONS COLLECED WILL ONLY BE USED FOR THE PURPOSE OF GETTING HEALTHCARE COVERAGE THROUGH THE MARKETPLACE. ALL YOUR INFORMATION WILL BE KEPT STRICTLY CONFIDENTIAL. YOU CONFIRM THAT THE INFORMATION PROVIDED WILL BE TRUE TO THE BEST OF YOUR KNOWLEDGE. YOU ALSO AGREE THAT THE AGENT HELPING YOU HAS EXPLAINED THAT YOU HAVE A RESPONSIBILITY TO REPORT ANY HOUSEHOLD CHANGES THAT MAY AFFECT YOUR COVERAGE. TO REVOKE OR CANCEL CONSENT, YOU MUST ADVISE YOUR AGENT BY EMAIL OR PHONE.
YOUR AGENT: MAYKIE FORTUNE AT ZECO MIAMI INC.- 305-203-9835 EMAIL:MAYKIE@ZECOMIAMI.COM
Health Insurance Marketplace may ask to submit your documents; proof of income Immigration status