Welcome to AffordableCoverage Data Request Form!
If, under the California Consumer Privacy Act (CCPA), you are a California resident who submits an opt-out request for access, removal or sale of data, this Request Form for Information that exercises your rights. The CCPA does not provide such rights to residents of Non-California.
How do we protect your information? Please see our Data Protection Policy. The safety of your information is very important. We only collect the following information to authenticate your identity and collect your information to process your data request. While affordablecoverage.com will do everything in its power to satisfy your request, in some circumstances we may not be able to do so. For more information, see our Dissemination of California Consumer Privacy Act.