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CMS Model Consent Form for Marketplace Agents, Brokers, Web-brokers, and Agencies
ICR 202412-0938-007 · OMB 0938-1438 · Object 150409001.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | CMS Model Consent Form for Marketplace Agents, Brokers, Web-brokers, and Agencies |
| Subject | Agent Broker; Consent Form; Legal disclosure; Purpose Statement; Qualified health plan; QHP; |
| Author | Centers for Medicare & Medicaid Services (CMS) |
| File Modified | 2024-09-23 |
| File Created | 2024-09-23 |
| Conversion State | complete |