Updated November 5, 2026 · Preview

Your information.
A clear purpose.

This consumer website is operated by Union Health Insurance Agency LLC. Its purpose is to receive requests for health-insurance quote assistance.

What the form asks for

ZIP code, a suggested city/state you confirm, who needs coverage, coverage interest and an email address. First name, birth date and an income range are optional. Your browser uses birth date to calculate age; only age is included in the request. Phone number and preferred callback time are requested only if you choose the optional callback checkbox. Do not provide medical records, Social Security numbers or payment information.

How a request is handled

In the production configuration, requests are delivered through Resend to the agency’s monitored media@unionhealthadvisors.com inbox. The agency responds by email, and by phone only if you requested a callback. This does not enroll you in an automated calling, texting or marketing-email list. The request is not sold or forwarded to other agencies through this form.

In the current design preview, submissions are simulated on your device and no request is sent. The preview clearly labels its completion screen.

Cookies, measurement and hosting

This version includes no Meta Pixel, Google advertising tag, session replay or advertising audience tracking. Form answers remain in browser memory while the page is open and are not saved to local storage or added to the URL. Closing or reloading the page clears that memory. Postal-place suggestions use a local GeoNames dataset.

When deployed, Render and other infrastructure providers may process technical request information, such as IP addresses and access timestamps, to deliver and protect the service. Submitted inquiries remain in the agency’s business email system under its access and retention practices; this form does not automatically erase an email after delivery.

Your choices

You may skip optional information, leave callback permission unchecked, exit without submitting, or contact the agency to request access, correction or deletion of your inquiry, subject to applicable recordkeeping obligations. Email media@unionhealthadvisors.com. Do not include sensitive identity documents in an initial email.

Who operates this site