This government document is issued by California Health Benefit Exchange for use in California
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https://www.google.com/url?client=internal-element-cse&cx=009854164935538441977:yzlo2be1knm&q=https://hbex.coveredca.com/navigator-program/PDFs/Authorization-For-Enrollment-Assistance-Form.pdf&sa=U&ved=2ahUKEwjw8raCpaPyAhVppYsKHfQ9C9AQFjAEegQIBBAB&usg=AOvVaw1StF4RNeS8vIywhBreFchU