Sheron E Sidbury Email: sheron@sesinsureme.com Phone: (571) 636-9366

You Design A Plan
"Healthcare your way everyday"
Required Privacy Consent Forms
and Secure Document Submission
​
Please fill out the form below that corresponds
with the state you live in. Use the Secure Document sSubmission
tab to securely submit any required documents
Please click the button below to fill out the required consent form. This is for everyone who needs assistance with creating an account and filling out an application. This is not required by those who have an existing account or who will be creating their own accounts since they can grant permission from within their account.

Required
Quote and Enroll
CLICK HERE Health Insurance Company
Contact information list
Unsubsidized RENEWALS PROCESS "Watch Video"
1. Update your information here. (If you are completing the application yourself without help and your plan is on exchange "The Marketplace” skip to step 2 if your plan is off exchange skip to step 3.)
2. Complete the required consent form here.
3. Look out for your reenrollment letter. It will have your new price for January 1. You can also find it in your online account.
4. If you like the price and your doctors and medications are still in network simply pay the new premium before December 15th to activate your plan. Skip to step 11.
5. Want to change your plan? Shop for new Plans and Prices using the links above that correspond with your state. For accounts using the Marketplace to change plans, submit the application for next year from within your account starting November 1st. Choose your new plan. Skip to #9 and #12. All others continue with step #6
6. Send me the name of the company and the name of the plan selected. You will be sent an enrollment link. You will need it later.
7. Cancel your current plan on or after December 2nd but no later than December 5th. Verify the cancellation.
8. Once the cancellation is verified use the enrollment link sent to you to make your final plan selection for the coming year. Select and enroll in your new plan by December 10th.
9. Pay your premium no later than December 15th to activate your plan.
10. You are done.
If you have any questions please leave me a text or voice message 24 hours at (571) 636-9366











