PRIVACY POLICY
Introduction. We take your right to privacy seriously and want you to feel comfortable using our website. This Privacy Policy deals with personally identifiable information (referred to as "Data" below) that may be collected by us on our site. This Policy does not apply to other entities that we do not own or control or persons that are not our employees, agents, or within our control. Please take time to read our Terms of Use.
1. Collection of Data. Our process requires a significant amount of information collection in order that we may appropriately serve you. Required fields are indicated. Providing us with other information is your option. Please take note that your name, e-mail address, or other submissions that you make on this site may contain your real name or other personally identifiable information. Like many websites, we may also automatically receive general information that is contained in our server log files such as your IP address and cookie information. Information about how advertising may be served on this site (if at all) is set forth below.
2. Use of Data. We may use Data to customize and improve your user experience on this site. We will make efforts so that your Data will not be provided to third parties unless (i) provided for otherwise in this Privacy Policy; (ii) we obtain your consent, such as when you choose to opt in or opt-out to the sharing of Data; (iii) a service provided on our site requires the interaction with or is provided by a third party, by way of example an Application Service Provider; (iv) pursuant to legal process or law enforcement; (v) we find that your use of this site violates our this Policy, Terms of Service, other usage guidelines or as deemed reasonably necessary by us to protect our legal rights and/or property; (vi) or (vi) this site is purchased by a third party whereby that third party will be able to use the Data in the same manner as we can as set forth in this Policy. In the event you choose to use links that appear on our site to visit other websites, you are advised to read the privacy policies that appear on those sites.
3. Cookies. Like many websites, we set and use cookies to enhance your user experience, such as retaining your personal settings. Advertisements may appear on our website and if so, may set and access cookies on your computer and is subject to the privacy policy of those parties providing the advertisement. If advertising is present on our site, the companies serving the advertising do not have access to our cookies. These companies usually use non-personally identifiable or anonymous codes to obtain information about your visits to our site.
4. Age Restrictions. We do not allow persons who are under the age of eighteen (18) to submit information to this site.
5. Editing or Deleting Your Account Information. You may request deletion of your e-mail address by contacting our webmaster. Other data that you may have provided to us will continue to remain within our files at our discretion even though your e-mail is deleted. Please see our Terms of Use for more information.
6. Changes to this Privacy Policy. We may make changes to this Policy from time to time. We will notify you of substantial changes to this Policy either by posting a prominent announcement on our site and/or by sending a message to the e-mail address you have provided to us that is contained within your user settings.
7. No Guarantees. While this Privacy Policy states our standards for maintenance of Data and we will make efforts to meet them, we are not in a position to guarantee these standards. There may be factors beyond our control that may result in the disclosure of data. As a consequence, we disclaim any warranties or representations relating to maintenance or nondisclosure of Data.
8. Contact Information. If you have any questions about this Policy or our website, please feel free to contact our webmaster.
9. Privacy Notice Statement Regarding Health and Ancillary Coverage. We are authorized to collect personally identifiable information (PII) from you by the state of Michigan and our contracted companies. Any PII Spearpoint Insurance Agency, Inc. collects is used to assist you with coverage placement and/or servicing. If you choose to give us PII, voluntarily, we may share this information with contracted companies to assist you with policy servicing. PII is used or disclosed only under the following circumstances: coverage servicing including quoting and enrollment. If PII is not disclosed, coverage servicing will be incomplete. You may access our complete Privacy Statement Pertaining to PII here (https://www.spearpointagency.com/privacy-policy).
Prequalification Application – Health Insurance Marketplace Disclosure
I have provided true answers to all of the questions to the best of my knowledge. I know I may be subject to penalties under federal law if I intentionally provide false information.
If my Marketplace Eligibility Notice tells me to send more information, I will follow the instructions by the deadline. If I don’t, I could lose what insurance I qualify for now. I may not be able to enroll in a Marketplace plan until the next Open Enrollment Period.
I know I must tell the Marketplace if the information I listed on this application changes. I know I can make changes in my Marketplace account online or by calling 1-800-318-2596. I know a change in my information could affect my eligibility for member(s) of my household.
If my insurance is canceled due to nonpayment, I won't be able to enroll in a Marketplace plan until the next Open Enrollment Period.
I understand when I file my tax return; the IRS will compare the income on my tax return with the income on my application. If my income is higher than reported, I may owe additional federal income taxes.
I will file a federal income tax return next year, for this year. If I am married, I will file jointly with my spouse. No one else will claim me as a dependent.
I will claim a personal exemption deduction on my federal income tax return for any individuals listed on the application as a dependent who is enrolled in coverage through the Marketplace.
Prequalification Application – Acknowledgement to Review Notice of Privacy Practices
I understand, and provide my consent, to have Spearpoint Insurance Agency, Inc. evaluate different individual health insurance options on my behalf.
I provide my consent and allow Spearpoint Insurance Agency, Inc. to use the information contained on this form to execute an enrollment on my behalf based on the plan I select with my agent.
I declare that the answers and information presented on this application are complete and true for all applicants to the best of my knowledge and belief, and will be used as the basis for issuing coverage and determining my eligibility for an “Advanced Premium Tax Credit” (APTC) from the Health Insurance Marketplace.
I understand that I should not cancel any current coverage I currently have in place until I receive written notice of approval from Spearpoint Insurance Agency, Inc.
I understand that any person who, knowingly and with intent to defraud any insurance company or other governmental entity, files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act when determined by a court of competent jurisdiction, and as such may be subject to criminal and civil penalties.
I understand that this coverage is not an employer group health plan and is not intended to be an employer-sponsored health insurance plan. I certify that my employer will not contribute any funds toward the cost of this coverage.