Notice: An emergency special enrollment is open through Dec 15, 2020. The application is available daily from 6 a.m. to 11 p.m.

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Notice: An emergency special enrollment is open through Dec 15, 2020. The application is available daily from 6 a.m. to 11 p.m.

What documents can I use to verify information in my application?

What documents can I use to verify information in my application?

What documents can I use to verify information in my application?

What documents can I use to verify information in my application?

What documents can I use to verify information in my application?

You may have to provide documentation that can verify your information on your application such as: income, identity, residency, Social Security number, citizenship or immigration status.

If you don’t have the requested information, you may submit a written statement using one of these affidavits for different situations including: If you have no income, or income from self-employment.

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

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