CCPA Opt-Out – Health Coverage Helpers

Welcome to Health Coverage Helpers Data Request Form!

If you are a California resident submitting an access, deletion, or data sale opt-out request pursuant to the California Consumer Privacy Act (CCPA), you may exercise your rights by completing this Data Request Form. Non-California residents do not have such rights under the CCPA.

Curious about how we protect your information? Please visit our Privacy Policy.

The security of your information is of the utmost importance to Health Coverage Helpers. We collect the information below solely to authenticate your identity and retrieve your information for purposes of processing your data request.

While Health Coverage Helpers will do all it can to honor your request, we may not be able to in certain circumstances. Please see our California Consumer Privacy Act Disclosure for further information.

First name

Last name

Address line 1

Address line 2 (Optional)

City

Zip code

Phone number

Birthday

Do not sell my personal information

Delete my data

Access my data

By Selecting the Submit button, I provide my express written consent to be contacted by phone at the number entered above.