[{"_id":"project-settings","settings":{"translateMetaTags":true,"translateAriaLabels":true,"translateTitle":true,"showWidget":false,"customWidget":{"theme":"dark","font":"rgb(255,255,255)","header":"rgb(0,0,0)","background":"rgba(0,0,0,0.8)","position":"right","positionVertical":"bottom","border":"","borderRequired":false,"widgetCompact":true},"widgetLanguages":[],"activeLanguages":{"es-MX":"Español (México)","en":"English"},"enabledLanguages":["en","es-MX"],"debugInfo":false,"displayBranding":true,"displayBrandingName":true,"localizeImages":false,"localizeImagesLimit":false,"localizeAudio":false,"localizeAudioLimit":false,"localizeDates":false,"disabledPages":[],"regexPhrases":[{"phrase":"#July , ","candidate":"#July ","variables":["",""],"regex":"^#July (.+?), (.+?)$"},{"phrase":"#May , ","candidate":"#May ","variables":["",""],"regex":"^#May (.+?), (.+?)$"},{"phrase":"#There are several other bonuses available to agents within their HealthSherpa for Agents account. 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The subscriber of the plan signs up for Autopay of premiums on behalf of all members enrolled on their plan. Limit one reward per eligible member. Eligible members who are unable to participate in an available program may be permitted to earn the same reward by completing a reasonable alternative. Call the number on the back of your health plan ID card to learn more. If you receive access to certain reward funds with your Card, you agree to the terms and conditions available at . Call for rewards balance. No Cash (except as required by law) or ATM Access. Fees and usage restrictions may apply. See cardholder terms for details. Issued by Citizens Alliance Bank, Member FDIC, pursuant to a license from Visa® U.S.A. Inc.","candidate":"#Members age 18 and over can earn a $100 reward on a prepaid Visa card upon completion of five activities. The subscriber of the plan signs up for Autopay of premiums on behalf of all members enrolled on their plan. Limit one reward per eligible member. 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Call (.+?) for rewards balance\\. No Cash \\(except as required by law\\) or ATM Access\\. Fees and usage restrictions may apply\\. See cardholder terms for details\\. Issued by Citizens Alliance Bank, Member FDIC, pursuant to a license from Visa® U\\.S\\.A\\. Inc\\.$"},{"phrase":"#Members age 18 and over can earn a $100 reward on a prepaid Visa card upon completion of five activities. The subscriber of the plan signs up for Autopay of premiums on behalf of all members enrolled on their plan. Limit one reward per eligible member. Eligible members who are unable to participate in an available program may be permitted to earn the same reward by completing a reasonable alternative. Call the number on the back of your health plan ID card to learn more. If you receive access to certain reward funds with your Card, you agree to the terms and conditions available at . Call 1-833-818-8692 for rewards balance. No Cash (except as required by law) or ATM Access. 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Inc\\.$"},{"phrase":"#Has regularly used tobacco products on average for four (4) or more times per week within the past six months (includes chewing tobacco, cigarettes, cigars and pipes, excludes religious or ceremonial use of tobacco), check “Yes” as Tobacco User below. Federal law prohibits the sale of tobacco to individuals under the age of 21. If you are under the age of 21, select the N/A check box below to the question on Tobacco Use.","candidate":"#Has ","variables":[""],"regex":"^#Has (.+?) regularly used tobacco products on average for four \\(4\\) or more times per week within the past six months \\(includes chewing tobacco, cigarettes, cigars and pipes, excludes religious or ceremonial use of tobacco\\), check “Yes” as Tobacco User below\\. Federal law prohibits the sale of tobacco to individuals under the age of 21\\. 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Learn more.","candidate":"#Submit your W-9 to earn up to ","variables":[""],"regex":"^#Submit your W\\-9 to earn up to (.+?) in bonuses\\. Learn more\\.$"},{"phrase":"#CMS requires that you extend your FFM integration by or you won't be able to view clients or applications – it takes just a minute. Learn more","candidate":"#CMS requires that you extend your FFM integration by ","variables":[""],"regex":"^#CMS requires that you extend your FFM integration by (.+?) or you won't be able to view clients or applications – it takes just a minute\\. Learn more$"},{"phrase":"#Submit your W-9 to earn up to in bonuses. Learn more.","candidate":"#Submit your W-9 to earn up to ","variables":[""],"regex":"^#Submit your W\\-9 to earn up to (.+?) in bonuses\\. 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If you do not have a mortgage, select 'NONE OF THE ABOVE/DOES NOT APPLY'\\.$"},{"phrase":"#You may have opened an auto loan in or around . Please select the lender for this account. If you do not have such an auto loan, select 'NONE OF THE ABOVE/DOES NOT APPLY'.","candidate":"#You may have opened an auto loan in or around ","variables":[""],"regex":"^#You may have opened an auto loan in or around (.+?)\\. Please select the lender for this account\\. If you do not have such an auto loan, select 'NONE OF THE ABOVE/DOES NOT APPLY'\\.$"},{"phrase":"#You may have opened a Home Equity Line of Credit type loan in or around . Please select the lender to whom you currently make your payments or made your payments.","candidate":"#You may have opened a Home Equity Line of Credit type loan in or around ","variables":[""],"regex":"^#You may have opened a Home Equity Line of Credit type loan in or around (.+?)\\. 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Update your preferences and contact information at Preferences Page or Text1 MYINFOIL to 33633.","candidate":"#Go digital. Update your preferences and contact information at ","variables":[""],"regex":"^#Go digital\\. Update your preferences and contact information at (.+?)Preferences Page or Text1 MYINFOIL to 33633\\.$"},{"phrase":"#BlueCare Dental℠ 1C ( Individual Deductible, Monthly Payment)","candidate":"#BlueCare Dental℠ 1C (","variables":[""],"regex":"^#BlueCare Dental℠ 1C \\( Individual Deductible, (.+?) 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Update your preferences and contact information at (.+?) or Text1 MYINFOIL to 33633\\.$"},{"phrase":"#You must make your first monthly payment of by 10/1/2023.","candidate":"#You must make your first monthly payment of ","variables":[""],"regex":"^#You must make your first monthly payment of (.+?) by 10/1/2023\\.$"},{"phrase":"#The broker must be certified, licensed, and appointed with .","candidate":"#The broker must be certified, licensed, and appointed with ","variables":[""],"regex":"^#The broker must be certified, licensed, and appointed with (.+?)\\.$"},{"phrase":"#I hearby acknowledge and accept the terms and wish to submit my application for healthcare coverage from .","candidate":"#I hearby acknowledge and accept the terms and wish to submit my application for healthcare coverage from ","variables":[""],"regex":"^#I hearby acknowledge and accept the terms and wish to submit my application for healthcare coverage from (.+?)\\.$"},{"phrase":"#type your full name below to sign on behalf of electronically.","candidate":"#type your full name below to sign on behalf of ","variables":[""],"regex":"^#type your full name below to sign on behalf of (.+?) electronically\\.$"},{"phrase":"# license ID number (Optional)","candidate":"#","variables":[""],"regex":"^#(.+?) license ID number \\(Optional\\)$"},{"phrase":"#license ID number","candidate":"#","variables":[""],"regex":"^#(.+?)license ID number$"},{"phrase":"#license ID number (Optional)","candidate":"#","variables":[""],"regex":"^#(.+?)license ID number \\(Optional\\)$"},{"phrase":"# license ID number (Optional)","candidate":"#","variables":[""],"regex":"^#(.+?) license ID number \\(Optional\\)$"},{"phrase":"#You must make your first monthly payment of by 9/1/2023.","candidate":"#You must make your first monthly payment of ","variables":[""],"regex":"^#You must make your first monthly payment of (.+?) by 9/1/2023\\.$"},{"phrase":"#1. No insurance will become effective unless the appropriate premium is received by 2. If coverage is issued, the coverage will not be a continuation of any prior coverage. 3. An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial. 4. The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued. 5. I must select a primary care physician. If I do not select a primary care physician, one will be assigned to me. Benefits may not be payable if I see a specialist without a referral from my primary care physician. 6. The policy requires some medical services to be authorized by UnitedHealthcare of Arizona, Inc. or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained. 7. Insurance will be effective on the date determined by the federal Health Insurance Marketplace. 8. The policy does not cover the charges for services received from a non-network provider, except for emergencies. 9. Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.","candidate":"#1. No insurance will become effective unless the appropriate premium is received by ","variables":[""],"regex":"^#1\\. No insurance will become effective unless the appropriate premium is received by (.+?) 2\\. If coverage is issued, the coverage will not be a continuation of any prior coverage\\. 3\\. An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial\\. 4\\. The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued\\. 5\\. I must select a primary care physician\\. If I do not select a primary care physician, one will be assigned to me\\. Benefits may not be payable if I see a specialist without a referral from my primary care physician\\. 6\\. The policy requires some medical services to be authorized by UnitedHealthcare of Arizona, Inc\\. or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained\\. 7\\. Insurance will be effective on the date determined by the federal Health Insurance Marketplace\\. 8\\. The policy does not cover the charges for services received from a non\\-network provider, except for emergencies\\. 9\\. Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison\\.$"},{"phrase":"#1. No insurance will become effective unless the appropriate premium is received by 2. If coverage is issued, the coverage will not be a continuation of any prior coverage. 3. An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial. 4. The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued. 5. I must select a primary care physician. If I do not select a primary care physician, one will be assigned to me. Benefits may not be payable if I see a specialist without a referral from my primary care physician. 6. The policy requires some medical services to be authorized by UnitedHealthcare of Texas, Inc. or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained. 7. Insurance will be effective on the date determined by the federal Health Insurance Marketplace. 8. The policy does not cover the charges for services received from a non-network provider, except for emergencies or if we refer you to an out-of-network provider. 9. Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.","candidate":"#1. No insurance will become effective unless the appropriate premium is received by ","variables":[""],"regex":"^#1\\. No insurance will become effective unless the appropriate premium is received by (.+?) 2\\. If coverage is issued, the coverage will not be a continuation of any prior coverage\\. 3\\. An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial\\. 4\\. The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued\\. 5\\. I must select a primary care physician\\. If I do not select a primary care physician, one will be assigned to me\\. Benefits may not be payable if I see a specialist without a referral from my primary care physician\\. 6\\. The policy requires some medical services to be authorized by UnitedHealthcare of Texas, Inc\\. or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained\\. 7\\. Insurance will be effective on the date determined by the federal Health Insurance Marketplace\\. 8\\. The policy does not cover the charges for services received from a non\\-network provider, except for emergencies or if we refer you to an out\\-of\\-network provider\\. 9\\. Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison\\.$"},{"phrase":"#1. No insurance will become effective unless the appropriate premium is received by or its representative. 2. If coverage is issued, the coverage will not be a continuation of any prior coverage. 3. An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial. 4. The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued. 5. I must select a primary care physician. If I do not select a primary care physician, one will be assigned to me. Benefits may not be payable if I see a specialist without a referral from my primary care physician. 6. The policy requires some medical services to be authorized by UnitedHealthcare of Georgia, Inc. or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained. 7. Insurance will be effective on the date determined by the federal Health Insurance Marketplace. 8. The policy does not cover the charges for services received from a non-network provider, except for emergencies or if there is no network provider available who can provide appropriate services without unreasonable delay. 9. Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.","candidate":"#1. No insurance will become effective unless the appropriate premium is received by ","variables":[""],"regex":"^#1\\. No insurance will become effective unless the appropriate premium is received by (.+?) or its representative\\. 2\\. If coverage is issued, the coverage will not be a continuation of any prior coverage\\. 3\\. An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial\\. 4\\. The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued\\. 5\\. I must select a primary care physician\\. If I do not select a primary care physician, one will be assigned to me\\. Benefits may not be payable if I see a specialist without a referral from my primary care physician\\. 6\\. The policy requires some medical services to be authorized by UnitedHealthcare of Georgia, Inc\\. or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained\\. 7\\. Insurance will be effective on the date determined by the federal Health Insurance Marketplace\\. 8\\. The policy does not cover the charges for services received from a non\\-network provider, except for emergencies or if there is no network provider available who can provide appropriate services without unreasonable delay\\. 9\\. Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison\\.$"},{"phrase":"#1. No insurance will become effective unless the appropriate premium is received by 2. If coverage is issued, the coverage will not be a continuation of any prior coverage. 3. An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial. 4. The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued. 5. I must select a primary care physician. If I do not select a primary care physician, one will be assigned to me. Benefits may be reduced/not be payable if I see a specialist without a referral from my primary care physician. 6. The policy requires some medical services to be authorized by UnitedHealthcare of Illinois, Inc. or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained. 7. Insurance will be effective on the date determined by the federal Health Insurance Marketplace. 8. The policy does not cover the charges for services received from a non-network provider, except for emergencies. 9. Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.","candidate":"#1. No insurance will become effective unless the appropriate premium is received by ","variables":[""],"regex":"^#1\\. No insurance will become effective unless the appropriate premium is received by (.+?) 2\\. If coverage is issued, the coverage will not be a continuation of any prior coverage\\. 3\\. An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial\\. 4\\. The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued\\. 5\\. I must select a primary care physician\\. If I do not select a primary care physician, one will be assigned to me\\. Benefits may be reduced/not be payable if I see a specialist without a referral from my primary care physician\\. 6\\. The policy requires some medical services to be authorized by UnitedHealthcare of Illinois, Inc\\. or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained\\. 7\\. Insurance will be effective on the date determined by the federal Health Insurance Marketplace\\. 8\\. The policy does not cover the charges for services received from a non\\-network provider, except for emergencies\\. 9\\. Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison\\.$"},{"phrase":"#We've encountered an error while saving your information. There may be errors within your application. Please review your application and resubmit. If you continue seeing an error, you can complete your application by calling us at ","candidate":"#We've encountered an error while saving your information. There may be errors within your application. Please review your application and resubmit. If you continue seeing an error, you can complete your application by calling us at ","variables":[""],"regex":"^#We've encountered an error while saving your information\\. There may be errors within your application\\. Please review your application and resubmit\\. If you continue seeing an error, you can complete your application by calling us at (.+?)$"},{"phrase":"#You can also enroll in 2024 coverage on when the next Open Enrollment Period begins","candidate":"#You can also enroll in 2024 coverage on ","variables":[""],"regex":"^#You can also enroll in 2024 coverage on (.+?) when the next Open Enrollment Period begins$"},{"phrase":"#The broker must be certified, licensed, and appointed with .","candidate":"#The broker must be certified, licensed, and appointed with ","variables":[""],"regex":"^#The broker must be certified, licensed, and appointed with (.+?)\\.$"},{"phrase":"#1. No insurance will become effective unless the appropriate premium is received by 2. If coverage is issued, the coverage will not be a continuation of any prior coverage. 3. An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial. 4. The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued. 5. I must select a primary care physician. If I do not select a primary care physician, one will be assigned to me. 6. The policy requires some medical services to be authorized by UnitedHealthcare of Ohio, Inc. or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained. 7. Insurance will be effective on the date determined by the Federal Health Insurance Marketplace. 8. The policy does not cover the charges for services received from a non-network provider, except for emergencies. 9. Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. 10. I authorize UnitedHealthcare of Ohio, Inc., and its affiliates (collectively, \"UnitedHealthcare\") to obtain, use and disclose my medical, claim or benefit records, including any individually identifiable health information contained in these records. I understand these records may contain information created by other persons or entities (including health care providers) as well as information regarding the use of drug, alcohol, Human Immunodeficiency Virus (HIV), Acquired Immune Deficiency Syndrome (AIDS), mental health (other than psychotherapy notes), sexually transmitted disease and reproductive health services. I authorize any health care provider, pharmacy benefit manager, other insurer or reinsurer, hospital, clinic or other medical facility, health care clearinghouse, and any of their affiliates, representatives or business associates, to disclose my information to UnitedHealthcare and Affiliates. I understand that the purpose of the disclosure and use of my information is to allow UnitedHealthcare to facilitate the appropriate management of treatment, services, payment and benefits. I further understand that the information disclosed will not be used for purposes of eligibility, enrollment, underwriting and premium risk rating. I understand this authorization is voluntary and I may refuse to sign the authorization. I understand I may revoke this authorization at any time by notifying my UnitedHealthcare representative in writing, except to the extent that action has already been taken in reliance on this authorization. As required by HIPAA, UnitedHealthcare also requires that I acknowledge the following, which I do: I understand that information I authorize a person or entity to obtain and use may be re-disclosed and no longer protected by federal privacy regulations. This authorization, unless revoked earlier, expires 30 months after the date it is signed. As provided under Ohio law, you have the right to ask for and to receive a copy of the authorization form.","candidate":"#1. No insurance will become effective unless the appropriate premium is received by ","variables":[""],"regex":"^#1\\. No insurance will become effective unless the appropriate premium is received by (.+?) 2\\. If coverage is issued, the coverage will not be a continuation of any prior coverage\\. 3\\. An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial\\. 4\\. The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued\\. 5\\. I must select a primary care physician\\. If I do not select a primary care physician, one will be assigned to me\\. 6\\. The policy requires some medical services to be authorized by UnitedHealthcare of Ohio, Inc\\. or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained\\. 7\\. Insurance will be effective on the date determined by the Federal Health Insurance Marketplace\\. 8\\. The policy does not cover the charges for services received from a non\\-network provider, except for emergencies\\. 9\\. Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud\\. 10\\. I authorize UnitedHealthcare of Ohio, Inc\\., and its affiliates \\(collectively, \"UnitedHealthcare\"\\) to obtain, use and disclose my medical, claim or benefit records, including any individually identifiable health information contained in these records\\. I understand these records may contain information created by other persons or entities \\(including health care providers\\) as well as information regarding the use of drug, alcohol, Human Immunodeficiency Virus \\(HIV\\), Acquired Immune Deficiency Syndrome \\(AIDS\\), mental health \\(other than psychotherapy notes\\), sexually transmitted disease and reproductive health services\\. I authorize any health care provider, pharmacy benefit manager, other insurer or reinsurer, hospital, clinic or other medical facility, health care clearinghouse, and any of their affiliates, representatives or business associates, to disclose my information to UnitedHealthcare and Affiliates\\. I understand that the purpose of the disclosure and use of my information is to allow UnitedHealthcare to facilitate the appropriate management of treatment, services, payment and benefits\\. I further understand that the information disclosed will not be used for purposes of eligibility, enrollment, underwriting and premium risk rating\\. I understand this authorization is voluntary and I may refuse to sign the authorization\\. I understand I may revoke this authorization at any time by notifying my UnitedHealthcare representative in writing, except to the extent that action has already been taken in reliance on this authorization\\. As required by HIPAA, UnitedHealthcare also requires that I acknowledge the following, which I do: I understand that information I authorize a person or entity to obtain and use may be re\\-disclosed and no longer protected by federal privacy regulations\\. This authorization, unless revoked earlier, expires 30 months after the date it is signed\\. As provided under Ohio law, you have the right to ask for and to receive a copy of the authorization form\\.$"},{"phrase":"#(1) No insurance will become effective unless the appropriate premium is received by ","candidate":"#(1) No insurance will become effective unless the appropriate premium is received by ","variables":[""],"regex":"^#\\(1\\) No insurance will become effective unless the appropriate premium is received by (.+?)$"},{"phrase":"#1. No insurance will become effective unless the appropriate premium is received by . or its representative.","candidate":"#1. No insurance will become effective unless the appropriate premium is received by ","variables":[""],"regex":"^#1\\. No insurance will become effective unless the appropriate premium is received by (.+?)\\. or its representative\\.$"},{"phrase":"#I have read and agree to all the information included in the Terms and Conditions of the uniform individual application for major medical health benefit plans.","candidate":"#I have read and agree to all the information included in the Terms and Conditions of the ","variables":[""],"regex":"^#I have read and agree to all the information included in the Terms and Conditions of the (.+?) uniform individual application for major medical health benefit plans\\.$"},{"phrase":"#I have read this enrollment form and represent that the information shown on it is true and complete. I understand and agree that: (1) No insurance will become effective unless the appropriate premium is received by . (2) If coverage is issued, the coverage will not be a continuation of any prior coverage. (3) I will not be required to participate in a genetic test or be subject to questions relating to genetic information. Genetic information disclosed will not be used for purposes of eligibility, enrollment, underwriting or discrimination on the basis of genetic information, and premium risk rating. (4) An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial. (5) The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued. (6) I must select a primary care physician. If I do not select a primary care physician, one will be assigned to me. (7) The policy requires some medical services to be authorized by UnitedHealthcare Insurance Company or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained. (8) Insurance will be effective on the date determined by the federal Health Insurance Marketplace (9) The policy does not cover the charges for services received from a non-network provider, except for emergencies. (10) Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.","candidate":"#I have read this enrollment form and represent that the information shown on it is true and complete. I understand and agree that: (1) No insurance will become effective unless the appropriate premium is received by ","variables":[""],"regex":"^#I have read this enrollment form and represent that the information shown on it is true and complete\\. I understand and agree that: \\(1\\) No insurance will become effective unless the appropriate premium is received by (.+?)\\. \\(2\\) If coverage is issued, the coverage will not be a continuation of any prior coverage\\. \\(3\\) I will not be required to participate in a genetic test or be subject to questions relating to genetic information\\. Genetic information disclosed will not be used for purposes of eligibility, enrollment, underwriting or discrimination on the basis of genetic information, and premium risk rating\\. \\(4\\) An intentional misrepresentation or omission of a material fact in this enrollment form may result in voidance of coverage and claim denial\\. \\(5\\) The information provided in this enrollment form, and any supplement or amendments to it, will be made a part of any policy that may be issued\\. \\(6\\) I must select a primary care physician\\. If I do not select a primary care physician, one will be assigned to me\\. \\(7\\) The policy requires some medical services to be authorized by UnitedHealthcare Insurance Company or its representative before the services are provided, and benefits for these services may be reduced or denied if the prior authorization is not obtained\\. \\(8\\) Insurance will be effective on the date determined by the federal Health Insurance Marketplace \\(9\\) The policy does not cover the charges for services received from a non\\-network provider, except for emergencies\\. \\(10\\) Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison\\.$"},{"phrase":"#Congratulations! You just enrolled in for !","candidate":"#Congratulations! You just enrolled in ","variables":["",""],"regex":"^#Congratulations! 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(.+?) would have to pay full price for a Marketplace plan\\.$"},{"phrase":"#This plan has a individual per person deductible and a family deductible.","candidate":"#This plan has a ","variables":["",""],"regex":"^#This plan has a (.+?) individual per person deductible and a (.+?) family deductible\\.$"},{"phrase":"#Select a person’s name if they lost COBRA coverage between and because:","candidate":"#Select a person’s name if they lost COBRA coverage between ","variables":["",""],"regex":"^#Select a person’s name if they lost COBRA coverage between (.+?) and (.+?) because:$"},{"phrase":"#Select a person’s name if they lost coverage between and 5/18/2023 through their (or a household member’s) employer, including if:","candidate":"#Select a person’s name if they lost coverage between ","variables":[""],"regex":"^#Select a person’s name if they lost coverage between (.+?) and 5/18/2023 through their \\(or a household member’s\\) employer, including if:$"},{"phrase":"#Your age by ","candidate":"#Your age by ","variables":[""],"regex":"^#Your age by (.+?)$"},{"phrase":"#When's the last day of current coverage? 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(.+?)$"},{"phrase":"#is going to end between and 5/8/2023?","candidate":"#is going to end between ","variables":[""],"regex":"^#is going to end between and 5/8/2023\\?$"},{"phrase":"#is going to end between and ?","candidate":"#is going to end between ","variables":[""],"regex":"^#is going to end between and (.+?)\\?$"},{"phrase":"#During Special Enrollment, you need a to enroll","candidate":"#During Special Enrollment, you need a ","variables":[""],"regex":"^#During Special Enrollment, you need a (.+?) to enroll$"},{"phrase":"#If you’re having trouble with this step or just prefer to chat, call us at to quickly and securely verify your identity over the phone during our support hours!","candidate":"#If you’re having trouble with this step or just prefer to chat, call us at ","variables":[""],"regex":"^#If you’re having trouble with this step or just prefer to chat, call us at (.+?) to quickly and securely verify your identity over the phone during our support hours!$"},{"phrase":"#Marketplace coverage is the only way to get premium tax credits to help lower your monthly premiums and savings on out-of-pocket cost with lower deductibles and copayments. All Marketplace plans must cover the same set of essential health benefits, including preventive care, doctor’s visits, prescriptions, and hospital and emergency services. No Marketplace plan can reject you, charge you more, or refuse to pay for essential health benefits for any condition you had before your coverage started. ","candidate":"#Marketplace coverage is the only way to get premium tax credits to help lower your monthly premiums and savings on out-of-pocket cost with lower deductibles and copayments. All Marketplace plans must cover the same set of essential health benefits, including preventive care, doctor’s visits, prescriptions, and hospital and emergency services. No Marketplace plan can reject you, charge you more, or refuse to pay for essential health benefits for any condition you had before your coverage started. ","variables":[""],"regex":"^#Marketplace coverage is the only way to get premium tax credits to help lower your monthly premiums and savings on out\\-of\\-pocket cost with lower deductibles and copayments\\. All Marketplace plans must cover the same set of essential health benefits, including preventive care, doctor’s visits, prescriptions, and hospital and emergency services\\. No Marketplace plan can reject you, charge you more, or refuse to pay for essential health benefits for any condition you had before your coverage started\\. (.+?)$"},{"phrase":"#The Marketplace is a health coverage service that helps you shop for and enroll in coverage that fits your needs and budget. The Marketplace can tell you if you qualify for an individual insurance plan with savings or whether you're eligible for free or low-cost coverage through Medicaid or the Children's Health Insurance Program (CHIP). The official Marketplace website is .","candidate":"#The Marketplace is a health coverage service that helps you shop for and enroll in coverage that fits your needs and budget. The Marketplace can tell you if you qualify for an individual insurance plan with savings or whether you're eligible for free or low-cost coverage through Medicaid or the Children's Health Insurance Program (CHIP). The official Marketplace website is ","variables":[""],"regex":"^#The Marketplace is a health coverage service that helps you shop for and enroll in coverage that fits your needs and budget\\. The Marketplace can tell you if you qualify for an individual insurance plan with savings or whether you're eligible for free or low\\-cost coverage through Medicaid or the Children's Health Insurance Program \\(CHIP\\)\\. The official Marketplace website is (.+?)\\.$"},{"phrase":"#If a person received or currently gets the extra $300 weekly federal pandemic unemployment compensation in 2023 as a result of COVID-19, don’t include this when entering the amount of current unemployment income received or when updating the estimated total income for the year. The extra federal pandemic unemployment compensation payments will end at different times depending on your state. Visit for more information about unemployment in your state.","candidate":"#If a person received or currently gets the extra $300 weekly federal pandemic unemployment compensation in 2023 as a result of COVID-19, don’t include this when entering the amount of current unemployment income received or when updating the estimated total income for the year. The extra federal pandemic unemployment compensation payments will end at different times depending on your state. Visit ","variables":[""],"regex":"^#If a person received or currently gets the extra \\$300 weekly federal pandemic unemployment compensation in 2023 as a result of COVID\\-19, don’t include this when entering the amount of current unemployment income received or when updating the estimated total income for the year\\. The extra federal pandemic unemployment compensation payments will end at different times depending on your state\\. Visit (.+?) for more information about unemployment in your state\\.$"},{"phrase":"#is going to end between and ?","candidate":"#is going to end between ","variables":[""],"regex":"^#is going to end between and (.+?)\\?$"},{"phrase":"#ended between and 3?","candidate":"#ended between ","variables":["",""],"regex":"^#ended between (.+?)and (.+?)3\\?$"},{"phrase":"#Attention: This website is operated by United Healthcare and is not the Health Insurance Marketplace website at . This website does not display all Qualified Health Plans available through HealthCare.gov. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.","candidate":"#Attention: This website is operated by United Healthcare and is not the Health Insurance Marketplace website at ","variables":[""],"regex":"^#Attention: This website is operated by United Healthcare and is not the Health Insurance Marketplace website at (.+?)\\. This website does not display all Qualified Health Plans available through HealthCare\\.gov\\. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare\\.gov\\.$"},{"phrase":"#Tell us about the regular pay (before taxes are taken out) from all jobs that gets, as well as any one-time amounts this month, like a bonus or a severance payment. Learn more about types of income to report.","candidate":"#Tell us about the regular pay (before taxes are taken out) from all jobs that ","variables":[""],"regex":"^#Tell us about the regular pay \\(before taxes are taken out\\) from all jobs that (.+?) gets, as well as any one\\-time amounts this month, like a bonus or a severance payment\\. Learn more about types of income to report\\.$"},{"phrase":"#If a person received or currently gets the extra $300 weekly federal pandemic unemployment compensation in 2023 as a result of COVID-19, don’t include this when entering the amount of current unemployment income received or when updating the estimated total income for the year. The extra federal pandemic unemployment compensation payments will end at different times depending on your state. ","candidate":"#If a person received or currently gets the extra $300 weekly federal pandemic unemployment compensation in 2023 as a result of COVID-19, don’t include this when entering the amount of current unemployment income received or when updating the estimated total income for the year. The extra federal pandemic unemployment compensation payments will end at different times depending on your state. ","variables":[""],"regex":"^#If a person received or currently gets the extra \\$300 weekly federal pandemic unemployment compensation in 2023 as a result of COVID\\-19, don’t include this when entering the amount of current unemployment income received or when updating the estimated total income for the year\\. The extra federal pandemic unemployment compensation payments will end at different times depending on your state\\. (.+?)$"},{"phrase":"#Did any of these people have Medicaid or Children's Health Insurance Program (CHIP) coverage that will end soon or that ended between and ? is going to end between 04/21/2023 and 4/21/2023?","candidate":"#Did any of these people have Medicaid or Children's Health Insurance Program (CHIP) coverage that will end soon or that ended between ","variables":["",""],"regex":"^#Did any of these people have Medicaid or Children's Health Insurance Program \\(CHIP\\) coverage that will end soon or that ended between (.+?) and (.+?)\\? is going to end between 04/21/2023 and 4/21/2023\\?$"},{"phrase":"#Only check this box if attests that they have never been issued an SSN by the Social Security Administration","candidate":"#Only check this box if ","variables":[""],"regex":"^#Only check this box if (.+?) attests that they have never been issued an SSN by the Social Security Administration$"},{"phrase":"#One or more applicants in this household experienced or will experience the following on : Loss of health coverage","candidate":"#One or more applicants in this household experienced or will experience the following on ","variables":[""],"regex":"^#One or more applicants in this household experienced or will experience the following on (.+?): Loss of health coverage$"},{"phrase":"# select this if the insurance your job offers costs more than of your pre-tax household income to insure .","candidate":"#","variables":[""],"regex":"^#(.+?) select this if the insurance your job offers costs more than of your pre\\-tax household income to insure \\.$"},{"phrase":"#Attention: This website is operated by and is not the Health Insurance Marketplace® website at This website does not display all Qualified Health Plans available through . To see all available Qualified Health Plan options, go to the Health Insurance Marketplace® website at .","candidate":"#Attention: This website is operated by ","variables":[""],"regex":"^#Attention: This website is operated by and is not the Health Insurance Marketplace® website at (.+?) This website does not display all Qualified Health Plans available through (.+?)\\. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace® website at (.+?)\\.$"},{"phrase":"#Do all the plans offered by meet the minimum value standard?","candidate":"#Do all the plans offered by ","variables":[""],"regex":"^#Do all the plans offered by (.+?)meet the minimum value standard\\?$"},{"phrase":"#Select everyone who’s included in the offer of health coverage. If there’s more than one health coverage offer from for multiple household members, then tell us about coverage offer only","candidate":"#Select everyone who’s included in the offer of health coverage. If there’s more than one health coverage offer from for multiple household members, then tell us about ","variables":[""],"regex":"^#Select everyone who’s included in the offer of health coverage\\. If there’s more than one health coverage offer from for multiple household members, then tell us about (.+?) coverage offer only$"},{"phrase":"#If a person will be in a waiting period on , don't select their name. When that waiting period ends, return to the application, report a life change, and select their name here.","candidate":"#If a person will be in a waiting period on ","variables":[""],"regex":"^#If a person will be in a waiting period on (.+?), don't select their name\\. When that waiting period ends, return to the application, report a life change, and select their name here\\.$"},{"phrase":"#Only select a person’s name if they have an offer of coverage starting ","candidate":"#Only select a person’s name if they have an offer of coverage starting ","variables":[""],"regex":"^#Only select a person’s name if they have an offer of coverage starting (.+?)$"},{"phrase":"# did not lose coverage on or after 01/01/2020","candidate":"#","variables":[""],"regex":"^#(.+?) did not lose coverage on or after 01/01/2020$"},{"phrase":"#Enter the amount of the lowest-cost plan offered by the employer that would cover the employee plus the other people selected. Don't include any amount paid by .","candidate":"#Enter the amount of the lowest-cost plan offered by the employer that would cover the employee plus the other people selected. Don't include any amount paid by ","variables":[""],"regex":"^#Enter the amount of the lowest\\-cost plan offered by the employer that would cover the employee plus the other people selected\\. Don't include any amount paid by (.+?)\\.$"},{"phrase":"#If is offered an Health Reimbursement Arrangement (HRA), enter the value after subtracting the self-only HRA amount from the self-only premium amount. amounts should be listed in a notice from the employer. But, if you don't have a notice or you're not sure what these amounts are, ask the employer.","candidate":"#If ","variables":[""],"regex":"^#If (.+?) is offered an Health Reimbursement Arrangement \\(HRA\\), enter the value after subtracting the self\\-only HRA amount from the self\\-only premium amount\\. amounts should be listed in a notice from the employer\\. But, if you don't have a notice or you're not sure what these amounts are, ask the employer\\.$"},{"phrase":"#If has wellness programs, enter the premium this person would pay if the maximum discount for any tobacco cessation programs (counseling to stop smoking), but no other programs.","candidate":"#If ","variables":[""],"regex":"^#If (.+?) has wellness programs, enter the premium this person would pay if the maximum discount for any tobacco cessation programs \\(counseling to stop smoking\\), but no other programs\\.$"},{"phrase":"#Enter the amount of the lowest-cost plan offered by the employer that would cover the employee only. Don't include any amount paid by .","candidate":"#Enter the amount of the lowest-cost plan offered by the employer that would cover the employee only. Don't include any amount paid by ","variables":[""],"regex":"^#Enter the amount of the lowest\\-cost plan offered by the employer that would cover the employee only\\. Don't include any amount paid by (.+?)\\.$"},{"phrase":"#Do all the plans offered by meet the minimum value standard?","candidate":"#Do all the plans offered by ","variables":[""],"regex":"^#Do all the plans offered by (.+?) meet the minimum value standard\\?$"},{"phrase":"#A licensed insurance agent with company may still be able to help! Call them at to learn about Individual Exchange plans offered by other carriers in your area.","candidate":"#A licensed insurance agent with ","variables":["",""],"regex":"^#A licensed insurance agent with (.+?) company may still be able to help! Call them at (.+?) to learn about Individual Exchange plans offered by other carriers in your area\\.$"},{"phrase":"#Alternatively you may also visit or your State Based Exchange directly.","candidate":"#Alternatively you may also visit ","variables":[""],"regex":"^#Alternatively you may also visit (.+?) or your State Based Exchange directly\\.$"},{"phrase":"#This rating is for plans in . The government requires that insurance companies survey their ACA plan members and report their ratings.","candidate":"#This rating is for ","variables":["",""],"regex":"^#This rating is for (.+?) plans in (.+?)\\. The government requires that insurance companies survey their ACA plan members and report their ratings\\.$"},{"phrase":"#This rating is for plans in , and was taken from medical care, member experience, and plan administration.","candidate":"#This rating is for ","variables":["",""],"regex":"^#This rating is for (.+?) plans in (.+?), and was taken from medical care, member experience, and plan administration\\.$"},{"phrase":"#Plan Selection Error: Catastrophic plans cannot have an applicant over age 29 at the effective date (). Please select another plan.","candidate":"#Plan Selection Error: Catastrophic plans cannot have an applicant over age 29 at the effective date (","variables":[""],"regex":"^#Plan Selection Error: Catastrophic plans cannot have an applicant over age 29 at the effective date \\((.+?)\\)\\. Please select another plan\\.$"},{"phrase":"#Important: to be eligible to enroll, you must be receiving services under another health plan for specific care where the provider is no longer participating in the health benefit plan in the last 60 days (since )","candidate":"#Important: to be eligible to enroll, you must be receiving services under another health plan for specific care where the provider is no longer participating in the health benefit plan in the last 60 days (since ","variables":[""],"regex":"^#Important: to be eligible to enroll, you must be receiving services under another health plan for specific care where the provider is no longer participating in the health benefit plan in the last 60 days \\(since (.+?)\\)$"},{"phrase":"# is a free or low-cost state-run health insurance program available to people with a low income or qualifying medical needs.","candidate":"#","variables":[""],"regex":"^#(.+?) is a free or low\\-cost state\\-run health insurance program available to people with a low income or qualifying medical needs\\.$"},{"phrase":"#To assess your official eligibility, please click continue to submit an application.","candidate":"#To assess your ","variables":[""],"regex":"^#To assess your official (.+?) eligibility, please click continue to submit an application\\.$"},{"phrase":"# plans","candidate":"#","variables":[""],"regex":"^#([\\d ]{1,2}) plans$"},{"phrase":"#Estimate your household income (before taxes)","candidate":"#","variables":[""],"regex":"^#Estimate your (.+?) household income \\(before taxes\\)$"},{"phrase":"#Plan year ","candidate":"#Plan year ","variables":[""],"regex":"^#Plan year (.+?)$"},{"phrase":"#Attention: This website is operated by and is not the Health Insurance Marketplace© website at HealthCare.gov. This website does not display all Qualified Health Plans available through HealthCare.gov. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace© website at HealthCare.gov.","candidate":"#Attention: This website is operated by ","variables":[""],"regex":"^#Attention: This website is operated by (.+?) and is not the Health Insurance Marketplace© website at HealthCare\\.gov\\. This website does not display all Qualified Health Plans available through HealthCare\\.gov\\. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace© website at HealthCare\\.gov\\.$"},{"phrase":"# is filing a federal income tax return for and is claiming , as dependents","candidate":"#","variables":["","","",""],"regex":"^#(.+?) is filing a federal income tax return for (.+?) and is claiming (.+?), (.+?) as dependents$"},{"phrase":"#Please add any other people that claims.","candidate":"#Please add any other people that ","variables":[""],"regex":"^#Please add any other people that (.+?) claims\\.$"},{"phrase":"#Who is the tax filer that will claim on their income tax return for ?","candidate":"#Who is the tax filer that will claim ","variables":["",""],"regex":"^#Who is the tax filer that will claim (.+?) on their income tax return for (.+?)\\?$"},{"phrase":"#Is claiming any dependents on their taxes for ?","candidate":"#Is ","variables":["",""],"regex":"^#Is (.+?) claiming any dependents on their taxes for (.+?)\\?$"},{"phrase":"#It looks like the eligible immigration question was skipped. If doesn't want to answer this question, that is OK, but by doing so won't be eligible for coverage.","candidate":"#It looks like the eligible immigration question was skipped. If ","variables":["",""],"regex":"^#It looks like the eligible immigration question was skipped\\. If (.+?) doesn't want to answer this question, that is OK, but by doing so (.+?) won't be eligible for coverage\\.$"},{"phrase":"#Does have eligible immigration status?","candidate":"#Does ","variables":[""],"regex":"^#Does (.+?)have eligible immigration status\\?$"},{"phrase":"#These are the children we have listed as living with at :","candidate":"#These are the children we have listed as living with","variables":["",""],"regex":"^#These are the children we have listed as living with(.+?) at (.+?):$"},{"phrase":"#Is taking care of any of these children?","candidate":"#Is ","variables":[""],"regex":"^#Is (.+?) taking care of any of these children\\?$"},{"phrase":"#It looks like the eligible immigration question was skipped. If doesn't want to answer this question, that is OK, but by doing so won't be eligible for coverage.","candidate":"#It looks like the eligible immigration question was skipped. If ","variables":[""],"regex":"^#It looks like the eligible immigration question was skipped\\. If doesn't want to answer this question, that is OK, but by doing so (.+?) won't be eligible for coverage\\.$"},{"phrase":"#Important: If this question is not answered, won't be eligible for full Medicaid or Marketplace coverage and will be considered only for coverage of emergency services, including labor and delivery services. If has an immigration status on this list of statuses, change the answer to “Yes.” If you’re not sure or you need help, call the Marketplace Call Center at 1-800-318-2596(TTY: 1-855-889-4325).","candidate":"#Important: If this question is not answered, ","variables":["",""],"regex":"^#Important: If this question is not answered, (.+?) won't be eligible for full Medicaid or Marketplace coverage and will be considered only for coverage of emergency services, including labor and delivery services\\. If (.+?) has an immigration status on this list of statuses, change the answer to “Yes\\.” If you’re not sure or you need help, call the Marketplace Call Center at 1\\-800\\-318\\-2596\\(TTY: 1\\-855\\-889\\-4325\\)\\.$"},{"phrase":"#You must specify which individual coverage option was offered","candidate":"#You must specify which individual coverage option ","variables":[""],"regex":"^#You must specify which individual coverage option (.+?) was offered$"},{"phrase":"#Full price plans start at . Shop for those plans here.","candidate":"#Full price plans start at ","variables":[""],"regex":"^#Full price plans start at (.+?)\\. Shop for those plans here\\.$"},{"phrase":"#Because your income is under it looks like you may not qualify for financial help—it also appears that you might not qualify for Medicaid.","candidate":"#Because your income is under ","variables":[""],"regex":"^#Because your income is under (.+?) it looks like you may not qualify for financial help—it also appears that you might not qualify for Medicaid\\.$"},{"phrase":"# plans are coming soon!","candidate":"#","variables":[""],"regex":"^#(.+?) plans are coming soon!$"},{"phrase":"#Include income from anyone you claim on your taxes and who will earn income in .","candidate":"#Include income from anyone you claim on your taxes and who will earn income in ","variables":[""],"regex":"^#Include income from anyone you claim on your taxes and who will earn income in (.+?)\\.$"},{"phrase":"#Total pre-tax household income","candidate":"#Total ","variables":[""],"regex":"^#Total (.+?) pre\\-tax household income$"},{"phrase":"# Income Calculator","candidate":"#","variables":[""],"regex":"^#([\\d ]{4}) Income Calculator$"},{"phrase":"#Attention: This website is operated by and does not display all Qualified Health Plans available through government exchanges. To see all available Qualified Health Plan options in Delaware or West Virginia, go the Health Insurance Marketplace website at HealthCare.gov. To see all available Qualified Health Plan options in Pennsylvania, go the Pennsylvania Insurance Exchange website at pennie.com.","candidate":"#Attention: This website is operated by ","variables":[""],"regex":"^#Attention: This website is operated by (.+?) and does not display all Qualified Health Plans available through government exchanges\\. To see all available Qualified Health Plan options in Delaware or West Virginia, go the Health Insurance Marketplace website at HealthCare\\.gov<\\/a>\\.<\\/span> To see all available Qualified Health Plan options in Pennsylvania, go the Pennsylvania Insurance Exchange website at pennie\\.com<\\/a>\\.<\\/span>$"},{"phrase":"#Attention: This website is operated by and is not the Health Insurance Marketplace® website at HealthCare.gov. This website does not display all Qualified Health Plans available through HealthCare.gov. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace® website at HealthCare.gov. Also, you should visit the Health Insurance Marketplace® website at HealthCare.gov if you want to enroll members of your household in separate Qualified Health Plans.","candidate":"#Attention: This website is operated by ","variables":[""],"regex":"^#Attention: This website is operated by (.+?) and is not the Health Insurance Marketplace® website at HealthCare\\.gov<\\/a>\\. This website does not display all Qualified Health Plans available through HealthCare\\.gov<\\/a>\\. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace® website at HealthCare\\.gov<\\/a>\\. Also, you should visit the Health Insurance Marketplace® website at HealthCare\\.gov<\\/a> if you want to enroll members of your household in separate Qualified Health Plans\\.$"},{"phrase":"#By continuing, you (the consumer) grant permission to access your Marketplace application.","candidate":"#By continuing, you (the consumer) grant ","variables":[""],"regex":"^#By continuing, you \\(the consumer\\) grant (.+?) permission to access your Marketplace application\\.$"},{"phrase":"#Consumers: ","candidate":"#Consumers: ","variables":[""],"regex":"^#Consumers: <\\/i> (.+?)$"},{"phrase":"# is the fastest and easiest way to enroll in ACA / Marketplace health insurance. Click on the link to shop and compare plans, grab a FREE quote, and sign up for coverage.","candidate":"#","variables":[""],"regex":"^#(.+?) is the fastest and easiest way to enroll in ACA \\/ Marketplace health insurance\\. Click on the link to shop and compare plans, grab a FREE quote, and sign up for coverage\\.$"},{"phrase":"#Select the name of any child on a job-based or Marketplace plan who will age off of the plan between and .","candidate":"#Select the name of any child on a job-based or Marketplace plan who will age off of the plan between ","variables":["",""],"regex":"^#Select the name of any child on a job\\-based or Marketplace plan who will age off of the plan between (.+?) and (.+?)\\.$"},{"phrase":"#Select a person’s name if they’ll lose health coverage they bought themselves, through the Marketplace or elsewhere, between and , including if:","candidate":"#Select a person’s name if they’ll lose health coverage they bought themselves, through the Marketplace or elsewhere, between ","variables":["",""],"regex":"^#Select a person’s name if they’ll lose health coverage they bought themselves, through the Marketplace or elsewhere, between (.+?) and (.+?), including if:$"},{"phrase":"#Select a person’s name if they’ll lose COBRA coverage between and because:","candidate":"#Select a person’s name if they’ll lose COBRA coverage between ","variables":["",""],"regex":"^#Select a person’s name if they’ll lose COBRA coverage between (.+?) and (.+?) because:$"},{"phrase":"#Select a person’s name if they’ll lose job-based coverage between and because:","candidate":"#Select a person’s name if they’ll lose job-based coverage between ","variables":["",""],"regex":"^#Select a person’s name if they’ll lose job\\-based coverage between (.+?) and (.+?) because:$"},{"phrase":"#Select the name of each person whose qualifying health coverage is going to end between and . Select their name if they’re losing coverage or choosing to drop it.","candidate":"#Select the name of each person whose qualifying health coverage is going to end between ","variables":["",""],"regex":"^#Select the name of each person whose qualifying health coverage is going to end between (.+?) and (.+?)\\. Select their name if they’re losing coverage or choosing to drop it\\.$"},{"phrase":"#Select a person’s name if they lost Medicare coverage between and because they’re no longer eligible for premium-free Medicare Part A (Hospital Insurance).","candidate":"#","variables":["",""],"regex":"^#Select a person’s name if they lost Medicare coverage between(.+?) and (.+?) because they’re no longer eligible for premium\\-free Medicare Part A \\(Hospital Insurance\\)\\.$"},{"phrase":"#Select a person’s name if they lost coverage through Medicaid or the Children’s Health Insurance Program (CHIP) between and because:","candidate":"#","variables":["",""],"regex":"^#Select a person’s name if they lost coverage through Medicaid or the Children’s Health Insurance Program \\(CHIP\\) between (.+?) and (.+?) because:$"},{"phrase":"#Select a person’s name if they lost health coverage they bought themselves, through the Marketplace or elsewhere, between and , including if:","candidate":"#","variables":["",""],"regex":"^#Select a person’s name if they lost health coverage they bought themselves, through the Marketplace or elsewhere, between (.+?) and (.+?), including if:$"},{"phrase":"#One or more applicants in this household experienced or will experience the following on : Other","candidate":"#One or more applicants in this household experienced or will experience the following on ","variables":[""],"regex":"^#One or more applicants in this household experienced or will experience the following on (.+?): Other$"},{"phrase":"#One or more applicants in this household experienced or will experience the following on : Lost eligibility for tax credits/subsidies under the plan you were recently enrolled in","candidate":"#One or more applicants in this household experienced or will experience the following on ","variables":[""],"regex":"^#One or more applicants in this household experienced or will experience the following on (.+?): Lost eligibility for tax credits/subsidies under the plan you were recently enrolled in$"},{"phrase":"#One or more applicants in this household experienced or will experience the following on : Mandated to be covered as a dependent","candidate":"#One or more applicants in this household experienced or will experience the following on ","variables":[""],"regex":"^#One or more applicants in this household experienced or will experience the following on (.+?): Mandated to be covered as a dependent$"},{"phrase":"#One or more applicants in this household experienced or will experience the following on : Offered an ICHRA (Individual Coverage HRA) or QSEHRA","candidate":"#One or more applicants in this household experienced or will experience the following on ","variables":[""],"regex":"^#One or more applicants in this household experienced or will experience the following on (.+?): Offered an ICHRA \\(Individual Coverage HRA\\) or QSEHRA$"},{"phrase":"#One or more applicants in this household experienced or will experience the following on : Moved to a new permanent residence","candidate":"#One or more applicants in this household experienced or will experience the following on ","variables":[""],"regex":"^#One or more applicants in this household experienced or will experience the following on (.+?): Moved to a new permanent residence$"},{"phrase":"#One or more applicants in this household experienced or will experience the following on : Gained new household members due to domestic partnership or marriage","candidate":"#One or more applicants in this household experienced or will experience the following on ","variables":[""],"regex":"^#One or more applicants in this household experienced or will experience the following on (.+?): Gained new household members due to domestic partnership or marriage$"},{"phrase":"#One or more applicants in this household experienced or will experience the following on : If there was a birth, adoption, placement for adoption, or you began fostering","candidate":"#One or more applicants in this household experienced or will experience the following on ","variables":[""],"regex":"^#One or more applicants in this household experienced or will experience the following on (.+?): If there was a birth, adoption, placement for adoption, or you began fostering$"},{"phrase":"#, type your full name below to sign electronically","candidate":"#","variables":[""],"regex":"^#(.+?), type your full name below to sign electronically$"},{"phrase":"#What type of coverage does currently have?","candidate":"#What type of coverage does ","variables":[""],"regex":"^#What type of coverage does (.+?) currently have\\?$"},{"phrase":"#Will this plan replace the coverage already has?","candidate":"#Will this plan replace the coverage ","variables":[""],"regex":"^#Will this plan replace the coverage (.+?) already has\\?$"},{"phrase":"#Your domestic partner, female born ","candidate":"#Your domestic partner, female born 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