ACA Privacy Consent By asking Jerry Anderson, a licensed health insurance broker, for assistance with selecting and/or enrolling in a new plan I hereby give consent to Jerry to gather any private information necessary to assist me and/or my family with comparing plans and enrolling in an ACA Marketplace or other insurance plan. This consent begins when I request help and has no expiration date unless withdrawn by either party or if you cease to be a client. All person information gathered will remain private and confidential. ACA Compliance Acknowledgement - By contacting me for assistance with selecting and enrolling in a new ACA/Obamacare plan, you give consent and agree to provide personal information needed to complete the enrollment process. This may include your name, address, date of birth, phone number, social security number and projected income to determine possible premium subsidies in order to facilitate your enrollment.