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Medicare Information and Contact Consent

By submitting this form, you are requesting information from Kidwell Insurance Agency LLC regarding Medicare insurance products and services. Kidwell Insurance Agency LLC is an independent insurance agency and may represent multiple Medicare Advantage organizations, Medicare Supplement insurance companies, and Medicare Prescription Drug Plan sponsors.

By submitting your information, you authorize Kidwell Insurance Agency LLC to contact you regarding your request, including by telephone, email, or other communication methods for which you have provided consent.

You understand that submitting this form does not enroll you in a Medicare plan and does not obligate you to purchase an insurance product.

Kidwell Insurance Agency LLC does not represent every Medicare plan available in your area. Availability of plans and insurance products depends on your location, eligibility, and other factors.

Your information will be handled in accordance with our [Privacy Policy].

Medicare marketing and lead information: Your request is intended for Kidwell Insurance Agency LLC. Kidwell does not sell your personal information or Medicare lead information to other agents or agencies. Where applicable Medicare rules require specific consent before beneficiary information may be shared with another third-party marketing organization or TPMO, the applicable consent will be obtained before such information is shared.

*SMS/Text Message Consent

By submitting this form, you expressly consent to receive SMS/text messages from Kidwell Insurance Agency LLC at the telephone number you provide.

Messages may include responses to your inquiry, appointment scheduling and reminders, follow-up regarding insurance services, customer service communications, and other insurance-related communications for which you have provided consent.

Message frequency may vary. Message and data rates may apply. Reply STOP to opt out of further messaging. Reply HELP for more information.

Your consent to receive SMS/text messages is not a condition of purchasing any insurance product or service.

Your SMS consent applies specifically to Kidwell Insurance Agency LLC and does not constitute consent for unrelated companies, insurance carriers, agents, agencies, or other third parties to send you marketing text messages.

Kidwell does not sell or share your mobile telephone number or SMS opt-in/consent information with third parties or affiliates for their own marketing or promotional purposes.