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Please use this form for one of the following reasons:


1.   TAX REVIEW: If you are uploading Tax documents to supplement your intake as we look to price plans that suit your specific needs.

2. EIPA: If you are looking to compare plans for your small business we ask for a member census. (click here for a template census


2.   MARKETPLACE REQUIREMENTS: Upon submitting your application the marketplace may request documents be provided to prove income, citizenship, etc. We will match your upload here to your marketplace application



Template Group Census




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PA Health Advocates is a leading Fee Only health insurance advising company assisting clients across the United States. We make it simple for everyone to find affordable health insurance and keep their year-round health costs down. We combine Tax, Insurance and Financial principals to bring a holistic approach to health insurance planning. Your options are limitless when you understand the Federal Healthcare System.

717.400.1244 // // Lancaster, PA

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