Income Attestation Form 2024 Plan Summary Trio HMO Payment MEC

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Starts 10/1/23 thru 1/31/24

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CoveredCA Renewal FORM

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Serving ALL of California Since 1998
949-713-7222

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Target (Up to $25.00)

iTunes (up to $25.00)

Starbucks (up to $25.00)

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FUNNY VIDEO CARD

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Current Insurance Carrier *

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Last 4 of SS# (Primary Applicant): *

Click "Submit" to process your GIFT Form. We appreciate you helping spread the word of our service and look forward to mailing you out your gift card within the next 4 - 6 weeks. Thank you for being a loyal client of ours and HAPPY HOLIDAYS!

Notes:

Mailing Address: *

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Covered CA Case ID / Carrier ID #: *

Full Name (Primary Subscriber): *

Email: *

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We appreciate your business and as a way to say thank you and Happy Holidays, we are offering you a gift card of your choice. All we ask is that you post a testimonial, along with our website domain www.OE15.com on a social media forum of your choice. Some use facebook, while others use Instagram, Snap Chat, Twitter, etc. Share OE15.com _with others that we may be able to help or just send an email to friends, family, neighbors, co-workers, etc.

Thank you for completing our GIFT form below

Complete this entire form, share our website on Social Media, and we will mail your gift card within 4 - 6 weeks. (Value up to $25)

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no additional fee to use us!

Meet Marc Harris
Your Local Certified Insurance Agent

I have been helping clients since 1998 and was
one of the first agents to get certified with
Covered California and the CoveredCA.com
Exchange. We launched OE15.com to make it easy for clients like you evaluate all of your opportunities, and enroll in the policy with the best value. STOP waiting on hold for hours and START getting the service you deserve. Ready to renew your policy? We can help you today! Complete our short form and someone will contact you.

Certified Insurance Agent: Marc Harris
Covered California Agent ID#: 2000016310
Date Certified: 10/29/2013
Certification #: 5000003622
PDF Download:Covered California Certificates
website: www.OE15.com
CA Insurance License #: 0C45052