By entering personal information and checking this box, you are providing authorization and written consent, in lieu of verbal consent to NC Health Plans the right to fully utilize that information, and any additional information you provide to Blue Cross Blue Shield of North Carolina or to any government agency, to be used for the sole purpose of tracking, searching and accessing your application in the Marketplace, if you choose to apply. If you decide to apply, this allows NC Health Plans/Jerry Ballard & Associates (Agent Kennon Wainwright) to provide customer service to assist you in finalizing your enrollment and any account maintenance that may be required. We will not utilize any data you provide for any other purpose and we will not disclose any of such information to any third party not involved in the processing of your application or the issuance of insurance applied for by you.