Affordable Care Act Information Form

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Please complete the form below to receive more information regarding the Affordable Care Act and how it can benefit you and your family.

Disclaimer:  FHCGA provides FREE information and assistance for individuals applying to the ACA Health Insurance Marketplace.  FHCGA is not responsible for any claims made by insurance carriers or any other party providing insurance or services in connection with the ACA Health Insurance Marketplace.  Responses to forms submitted on line with be provided within 48 business hours.  For immediate assistance, please call 404.756.8748.

ACA Form

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