Notice: Marylanders can enroll in health plans through Jan. 15, 2022. The application is available daily 5 a.m.-1 a.m.

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Notice: Marylanders can enroll in health plans through Jan. 15, 2022. The application is available daily 5 a.m.-1 a.m.

Affidavits

Affidavits

Affidavits

Affidavits

Affidavits

Home > Affidavits

In some cases, you may sign and upload a written statement using one of these affidavits for different situations including: If you have no income, or income from self-employment.

No Current Income
Fluctuating Income
Self-employment Income
Social Security Income
Other Income
Exemption from Obtaining a SSN
Residency
Non-incarceration

How to submit documents

  1. Log into your account and upload documents using the link in My Inbox.
  2. Download our free mobile app, Enroll MHC, to submit documents using the camera of your mobile device.
  3. If you are unable to submit documents online, you may mail them to Maryland Health Connection, P.O. Box 857, Lanham, MD 20703.
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