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Exchange Agreements

NY State of Health

You hereby authorize Stride Health, Inc. to act as your Broker of Record in connection with this Application, and you acknowledge and agree that Stride Health, Inc. may use your personally identifiable information in order to complete the eligibility and enrollment process on the New York State of Health Marketplace. By submitting your application, you agree to the New York State of Health Marketplace Terms, Rights and Responsibilities (Unsubsidized or Subsidized), Privacy Consent (Unsubsidized or Subsidized) and Privacy Policy. You also acknowledge and agree to the following:

###General Privacy Attestation###

  • I understand the Marketplace will keep my information private as required by law. My answers on this form will only be used to determine eligibility for health coverage.

  • I understand the Marketplace may use data sources, including Experian and/or the New York State Department of Motor Vehicles, to verify my identity.

  • I understand that to protect my privacy, I will need to complete Identity Verification successfully, before requesting access to the selected activity.

###Identity Proofing###

With respect to identity proofing, below are a few items to keep in mind.

  • Ensure that you have entered your legal name, current home address, primary phone number, date of birth and email address correctly. The Marketplace will only collect personal information to verify your identity with Experian, an external identity verification provider.

  • Identity Verification involves Experian using information from your consumer report profile to help confirm your identity. As a result, you may see an entry called a "soft inquiry" on your Experian consumer report. Soft inquiries are only visible to you, will never be presented to third parties, and do not affect your credit score. The soft inquiry will be titled "CMS Proofing Services" and will be removed from your Experian consumer report after 25 months.

  • You may need to have access to your personal and consumer report information, as the Experian application will pose questions to you, based on data in their files. For additional information, please see the Experian Consumer Assistance website - http://www.experian.com/help/.