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Personal Information

Professional Information

Federally Facilitated Marketplace (FFM) Certification

Have you completed the annual FFM certification required to sell ACA insurance marketplace plans?

America's Health Insurance Plans (AHIP) Certification

Have you completed the annual AHIP certification required to sell Medicare insurance plans?

Additional Questions

Do you speak Spanish?

Do you have Errors and Omissions Insurance?

Are you willing to acquire more states under your license if needed?

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