Get ready to apply for or re-enroll in your
2021 Health Insurance Marketplace coverage

 

What do I need? Why do I need this? Have it ready!
Your information Your Marketplace application will ask you for some basic information,
including your name and date of birth.
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Information about
your household
Your Marketplace application will ask you about each person in your
household, even those not applying for coverage.
For the Marketplace, your household usually includes the tax filers and their tax dependents, but there are exceptions. Sometimes the Marketplace includes people you live with who aren’t in your tax household.
You should include yourself in your application. Here’s a basic list of the
other people, you should generally include, if these people are in your
household:
• Your spouse
• Your children who live with you, even if they make enough money to file a
tax return themselves
• Anyone you include on your tax return as a dependent, even if they don’t
live with you
• Anyone else under 21 who you take care of and who lives with you
• Your unmarried partner, only if one or both of these apply:
* They’re your dependent for tax purposes
* They’re the parent of your child
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Home and/or
mailing addresses
for everyone applying
for coverage
Where you live can affect what health coverage you’re eligible for.
You’ll enter your home address to show if you’re a resident of the state where you’re seeking coverage. You’ll select your state at the beginning of the application.
You’ll be asked for your mailing address. Often, this will be the same as your home address. If it’s not, provide a mailing address in the state you live in, if you can.
If anyone on your application has a different home and/or mailing address,
you’ll need to have it also.
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Information about
everyone applying for
coverage
Your Marketplace application will ask you to enter some basic information
about everyone applying for coverage, including their relationship to you.
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Social Security
Numbers (SSNs) for
everyone on your
application
Your Marketplace application will ask you to enter each person’s 9-digit SSN, even those not applying for coverage. The Marketplace will verify the SSNs with Social Security, based on the consent you’ll give at the start of your application. If you don’t enter an SSN, you may need to provide more information at a later time.
This information will only be used for eligibility for health coverage.
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Information about
the professional
helping you apply,
if any
If a professional is helping you complete your application, you’ll need to
enter their information. These professionals include: navigators, certified
application counselors, in-person assistance personnel, agents, and brokers.
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Immigration
document
information (this
only applies to
lawfully present
immigrants)
If you or anyone else on your application is a lawfully present immigrant,
you’ll be asked to provide information from your immigration documents.
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Information on how
you’ll file your taxes
If you file federal income taxes and are married, the Marketplace needs to
know if you file separately or jointly. You’ll also be asked about who you claim
as a tax dependent.
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Employer & income
information for
everyone in your
household
Your Marketplace application may ask you about the income, expenses,
and deductions of everyone in your household, even those not applying for
coverage.
The Marketplace accounts for income sources, including:
• Wages and salaries, as reported on your W-2 form and pay stubs
• Tips
• Net income from any self-employment or business
• Unemployment compensation
• Social Security payments, including disability payments (but not
Supplemental Security Income (SSI))
• Alimony
• Retirement or pension income, including most IRA or 401k withdrawals
• Investment income, like dividends or interest
• Rental income
• Other taxable income
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Your best estimate
of your household
income
Your Marketplace application may ask you to estimate what your household’s
income will be in the year you’ll be covered.
If you’re not sure, it’s okay to make your best estimate. If your income
changes, or is different than what you estimated, you’ll need to update this
information later.
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Health coverage
information (this
only applies if anyone
in your household
currently has a health
plan)
Your Marketplace application will ask if anyone in your household is currently
enrolled in health coverage, including Medicaid, the Children’s Health
Insurance Program (CHIP), Medicare, TRICARE, VA health care program, Peace
Corps, or coverage through individual insurance (including Marketplace
coverage) or an employer.
If anyone has coverage now, gather their policy numbers. You can find this
information on their insurance card or documents they get from their plan.
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Your best estimate
of your household
income
Your Marketplace application may ask you to estimate what your household’s
income will be in the year you’ll be covered.
If you’re not sure, it’s okay to make your best estimate. If your income
changes, or is different than what you estimated, you’ll need to update this
information later.
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Employer
information for
each person in your
household
Your Marketplace application will ask you to enter information about offers of
health coverage you may have through your job or through a family member’s
job. It will also ask you to enter employer contact information for each person
in your household who has a job.
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A completed
“Employer Coverage
Tool” (this is optional
and only applies
if anyone in your
household has or is
eligible for coverage
through their
employer)
You should fill out an “Employer Coverage Tool” for each member of your family who’s eligible for a job-based plan, even if that person isn’t enrolled in the job-based plan or isn’t applying for Marketplace coverage. You can get this information from your employer. This optional tool helps you gather the information you may need for your application in one spot. check

Have Everything Ready?

331-444-2831

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