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 employees who have created or will be creating their own accounts since they can grant permission from within their account.
Required
Quote and Enroll
5 Easy Steps to SecuringYour ICHRA Plan Reimbursement
1. Fill out the Required Privacy Consent Form that corresponds with your state
2. Shop for and buy a health insurance plan.
3. Get a copy of your invoice
4. Fill out the TASC Reimbursement Form
5. Upload your documents using the Submit Documents option above.
CLICK HERE for instructions on how to fill out the TASC Reimbursement Form
ICHRA RENEWALS PROCESS "Watch Video"
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Update your information here.
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Complete the required consent forms for your state here. (Fill out any document that says required in the state you live in.
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Shop for new Plans and Prices here.
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Starting November 1st - December 15th you will access your new account here and update your application or just click through the application. Sign and Submit.
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Make your final plan selection.
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Pay your premium.
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Submit a TASC Reimbursement form for the new year "if applicable"
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Submit a copy of your invoice with the updated amount.
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Your are done.
All ICHRA Plans submitted after January 1, 2024 as well as all renewals will be submitted off exchange. The Health Insurance Marketplace will only be used to see all available plans and compare prices in one place. Further instructions will be given to you to complete your enrollment.
CLICK HERE Health Insurance Company
Contact information list
If you have any questions please leave me a text or voice message 24 hours at (571) 636-9366