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 do I need to apply?

What documents do I need to apply?

What documents do I need to apply?

What documents do I need to apply?

What documents do I need to apply?

When you apply for coverage, you’ll need to provide this information about yourself and each member of your household who is enrolling:

  • Birthdates
  • Social Security Numbers (or document numbers for legal immigrants)
  • Citizenship or immigration status
  • Tax returns for previous years
  • Employer and income info (pay stubs, W-2 forms)
  • Policy numbers for any current health insurance and information about employer-sponsored coverage you or someone in your household is eligible for.
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