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Online Broker Marketing Program Opt-In Form

I acknowledge that Simpson Financial Group, Inc. (“SFG”), doing business as Simpson Financial Group, has requested my permission to use my personal contact information for online agent marketing programs. These programs will enable potential customers who are looking for an insurance agent in their local area, to see my personal contact information and contact me directly.

I acknowledge and agree that the information posted online may include my name, home address and telephone number. I further acknowledge I have provided Insphere with the correct personal contact information for use in its online agent marketing programs.

I authorize SFG to post my personal contact information in online agent marketing programs.

I acknowledge that once my personal contact information is posted online it may be difficult or impossible to have it removed.

I acknowledge that customers will be able to post reviews related to my services on Google, Facebook, Yahoo, Yelp and other web pages as a result of my participation in online broker marketing programs.

I acknowledge that SFG’s Compliance Department may monitor customer reviews of me and the services I provide.

I understand that there are eligibility requirements for online agent marketing programs and there is no guarantee that my information will be used.

By clicking the button below I agree to the foregoing terms and conditions. If I do not agree, I will not click the button and SFG will not include my personal contact information in its online agent marketing programs.

I agree to Opt-In
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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289 Elm St
Suite 102
Marlborough, MA 01752

(978) 222-3939
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Attention: This website is operated by Simpson Financial Group, Inc. and is not the Health Insurance Marketplace website. In offering this website, Simpson Financial Group, Inc. is required to comply with all applicable federal laws, including the standards established under 45 CFR 155.220(c) and (d) and standards established under 45 CFR 155.260 to protect the privacy and security of personally identifiable information. This website may not display all data on Qualified Health Plans being offered in your state through the Health Insurance Marketplace website. To see all available data on Qualified Health Plan options in your state, go to the Health Insurance Marketplace website at

Simpson Financial Group, Inc., which has licensed insurance agents in 50 states. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer's enrollment in a health plan. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled.