Purpose of Information Collection: The personal and medical information collected through this form will be used solely for the purpose of obtaining insurance quotes tailored to your needs. Babylon Benefits LLC commits to using this information to provide you with accurate and relevant insurance options.

Consent to Contact: By submitting this form and checking the corresponding box, you agree to opt-in to receive basic communications from Babylon Benefits LLC, which may include text messages, calls, and emails. These communications will be related to your insurance inquiries and our services.

Privacy and Confidentiality: Babylon Benefits LLC respects your privacy. We assure you that your information will not be sold or divulged to any third-party entities. All information provided is treated with the utmost confidentiality and used solely for the intended purpose of insurance quotation and consultation.

Opt-Out Option: You have the right to opt-out of communications from Babylon Benefits LLC at any time. To opt-out, simply reply with "STOP" to any of our messages, or contact us directly to be removed from our contact lists.

Accuracy of Information: By completing this form, you confirm that the information provided is accurate and complete to the best of your knowledge. Inaccurate or incomplete information may affect the suitability and accuracy of the insurance quotes provided.

Use of Medical Information: Medical information provided will be used to assess your insurance needs and options. This information is essential in providing you with the most appropriate insurance quotes and is handled with strict confidentiality.

Changes to Terms and Conditions: Babylon Benefits LLC reserves the right to modify these terms and conditions at any time. Continued use of our services following any such changes will constitute your acceptance of the revised terms and conditions.