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First Name

Last Name

Phone Number

By providing your phone number above, you agree to receive recurring automated promotional and personalized marketing text messages from Insure Rocket LLC at the cell number provided when signing up even if your cell number is currently listed on any state, federal, or corporate "Do Not Call" lists. Consent is not a condition of any purchase. Reply STOP to cancel and HELP for help. Message frequency varies. Msg & data rates may apply. View our Terms and Conditions and Privacy Policy.

Why do we ask?

Your personal information will be used for Insure Rocket, llc and its licensed agents to create and manage your health insurance application.

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What is your anticipated income for 2024?

Your estimated income: $20000

$50,000

Why do we ask?

If your household income falls between 100% and 400% of the federal poverty level, you may be eligible for a premium tax credit. For instance, in 2024, a single individual earning between $14,580 and $58,320 could qualify for this credit. These figures are derived from the 2023 federal poverty guidelines for the 2024 coverage year. Similarly, a family of three with an income ranging from $24,860 to $99,440 and a family of four with an income between $30,000 and $120,000 may also qualify. Note that the income thresholds in Alaska and Hawaii are higher due to their elevated federal poverty levels.

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Add your address

Give us your contact details so we can contact you and your current residential address..

Address

City

State

Why do we ask?

If approved, you will receive your insurance card in the mail, please enter your primary address.

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Add your details

Let us know more about yourself

Date of Birth (MM/DD/YYYY)

Social Security Number

Rest assured, we will never share your Social Security Number (SSN) with anyone. It is required solely to enroll you in a $0 health plan in the Federal Marketplace.

Gender

Male

Female

Why do we ask?

Your DOB is used to qualify you for health insurance benefits. Please note that if you are 65 or over, you are not eligible for enrollment into the ACA program.

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Who would you like to insure?

Self

Couple

Family

Single Parent

I want my licensed agent to pick the best plan for me

I want to see available plans and pick the best plan

Why do we ask?

We recommend that if you are applying as a Couple, Family, or Single Parent

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Add your Spouse details

Let us know more about your Spouse

First Name

Last Name

Date of Birth (MM/DD/YYYY)

Social Security Number

Gender

Male

Female

Why do we ask?

We need their information to obtain coverage for them.

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Do you want to Add Dependents?

Yes

First Name

Last Name

Date of Birth (MM/DD/YYYY)

Do you want to Add Another Dependent?

Yes

Dependent 2

First Name

Last Name

Date of Birth (MM/DD/YYYY)

Do you want to Add Another Dependent?

Yes

Dependent 3

First Name

Last Name

Date of Birth (MM/DD/YYYY)

Why do we ask?

We need their information to obtain coverage for them.

Act now to secure up to $1,200 in monthly subsidies, directly lowering your health insurance premiums. Many of our clients enjoy $0 monthly premiums. Don't miss out on this exclusive federal benefit! Apply today!

You can enroll or change plans only if you have certain life changes, or qualify for Medicaid or the Children's Health Insurance Program (CHIP).

Licensing Information: InsureRocket.com extends insurance application invitations exclusively through Insure Rocket, LLC, contingent on its licensing and appointment in the relevant jurisdictions. License details can be provided upon request and are furnished automatically where mandated by legal requirements. To request state license numbers, please contact [email protected] via email.

Disclaimer: The content provided here is purely for informational purposes. Availability of products may vary across different regions. The extent of coverage is determined by the specific terms set forth in the issued policies.

Invitations for application for insurance on InsureRocket.com are made through Insure Rocket, LLC only where licensed and appointed. License numbers are available upon request and are automatically provided where required by law. State license numbers are available upon request by emailing [email protected].

Name of Licensee: Insure Rocket, LLC
NPN: 21081357
Agent In Charge Name: Chandler Smith
Agent In Charge NPN: 21140927

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Enter your zip code to see if you qualify

Why do we ask?

Unlock Your Federal Subsidies to see if You Qualify for $0 Health Insurance Today!

Why do we ask?

Unlock Your Federal Subsidies to see if You Qualify for $0 Health Insurance Today!

Do you have health insurance coverage?

Why do we ask?

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What is your anticipated income for 2024?

Why do we ask?

Unlock Your Federal Subsidies to see if You Qualify for $0 Health Insurance Today!

Add your address

Why do we ask?

Unlock Your Federal Subsidies to see if You Qualify for $0 Health Insurance Today!

Add your details

Why do we ask?

Unlock Your Federal Subsidies to see if You Qualify for $0 Health Insurance Today!

Who would you like to insure?

Why do we ask?

Unlock Your Federal Subsidies to see if You Qualify for $0 Health Insurance Today!

Add your Spouse details

Why do we ask?

Unlock Your Federal Subsidies to see if You Qualify for $0 Health Insurance Today!

Do you want to Add Dependents?

Dependent 2

Dependent 3

Why do we ask?

Act now to secure up to $1,200 in monthly subsidies, directly lowering your health insurance premiums. Many of our clients enjoy $0 monthly premiums. Don't miss out on this exclusive federal benefit! Apply today!