• Find Individual & Family Health Insurance Coverage Options

  • Let's Start With What You Need

    Looking for health insurance for yourself or your family?

    Answer a few questions about your current situation, where you live, and what matters most to you in your coverage.

    Whether you're currently uninsured, losing employer coverage, self-employed, looking for family coverage, or exploring ACA/Marketplace health insurance, NDS Benefit Consulting can help you better understand your coverage needs and next steps.

    It only takes a few minutes to get started.

  • Who Needs Coverage?

  • Who are you looking to cover?*
  • What Can We Help You With?

  • What type of health insurance help are you looking for?*
  • Where Do You Need Coverage?

  • ZIP CODE

  • ACA / Marketplace Coverage

  • Are you interested in getting help understanding ACA/Marketplace health insurance options?*
  • Tell Us About Your Current Coverage

  • Do you currently have health insurance?*
  • Current Coverage

  • What type of health insurance do you currently have?*
  • What type of coverage are you losing?

  • What type of coverage are you losing?*
  • When will your current coverage end?*
     - -
    2 digit month, 2 digit day, 4 digit year
  • What Brings You Here Today?

  • What is the primary reason you're looking for health insurance?*
  • When Do You Need Coverage?

  • When would you like your new health coverage to begin?*
  • Number To Cover

  • How many people are you looking to cover?*
  • AGE RANGE

  • What is your age range?*
  • EMPLOYMENT

  • Which best describes your current work situation?*
  • A Little More About Your Household

  • This information can help NDS better understand your Marketplace coverage needs. Final eligibility, financial assistance, and enrollment determinations are made through the applicable Marketplace.
  • What is your Marketplace household size?*
  • HOUSEHOLD INCOME

  • What is your estimated household income for the year you want coverage?*
  • INCOME TYPE

  • Which sources of income best describe your household? Select all that apply:*
  • EMPLOYER COVERAGE

  • Does anyone who needs coverage currently have access to health insurance through an employer?*
  • Who has access to employer coverage?*
  • What Matters Most to You?

    Everyone's priorities are different. Tell us what matters most when you're considering health insurance.
  • What are your top priorities? Select all that apply:*
  • Your Doctors & Healthcare Providers

  • Is keeping a specific doctor, specialist, hospital, or healthcare system important to you?*
  • What is important for us to consider?*
  • Prescription Coverage

  • Is prescription drug coverage an important consideration for you?*
  • Prescription Coverage

  • Are there specific prescriptions you would like considered when reviewing coverage options?*
  • Would You Like to Explore Additional Protection?

    Health insurance may be one part of your overall protection. Let us know if there are other coverage areas you'd like to discuss.
  • Which additional coverage options interest you?*
  • Select all that apply.
  • You're Almost Finished

    Please provide the best information for your coverage request.
  • Format: (000) 000-0000.
  • CONTACT PREFERENCE

  • How would you prefer to hear from NDS?*
  • When is generally the best time to reach you?*
  • Anything Else We Should Know?

    Share any questions, concerns, or coverage priorities you'd like us to discuss.
  • What Would You Like to Do Next?

  • How would you like to proceed?*
  • By checking this box, I agree that NDS Benefit Consulting may contact me regarding my health insurance coverage request and related consultation by phone, email, and/or text message using the contact information I provided. I understand that I may withdraw my request for contact at any time.

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