CMS-10494 Training Certificate (English)

Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel - CAC (CMS-10494)

CMS-10494 - Appendix H_Sample Certification Certificate English

155.225(b)(1)(i) (certificate issuance)

OMB: 0938-1205

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1205 can be found here:

Document [docx]

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Expiration Date: XX/XXXX

Certified Marketplace

Shape2 Certified Application Counselor

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_____________________________________________________________recognizes

_______________________________ of ________________________________ as a Marketplace Certified Application Counselor, certified to assist consumers in understanding new programs, taking advantage of consumer protections, and navigating the health insurance system to find the most affordable coverage that meets the consumer’s needs.

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Date Certificate Issued Organization Official Signature

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	CAC certificate
Author	JAMAA HILL
File Modified	0000-00-00
File Created	2021-01-22