Get Ready to Apply for or Re-Enroll in Your Health Insurance Marketplace Coverage

Get Ready to Apply for or Re-Enroll in Your Health Insurance Marketplace® Coverage To apply for or re-enroll in your Marketplace coverage, visit HealthCare.gov or call the Marketplace Call Center at 1-800-318-2596. TTY users can call 1-855-889-4325. If you’re applying for cost savings, have this information ready before you start your application. It will help you 昀椀ll out your application faster. What do I need? Why do I need this? Is it ready? Your information Your Marketplace application will ask you for some basic information, including your name and date of birth. 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 昀椀lers and their tax dependents, but there are exceptions. Sometimes it includes people you live with who aren’t in your tax household. Include yourself on your application. As you 昀椀ll out your application, you may be asked questions about the following people: Your spouse n Your children who live with you, even if they make enough money to 昀椀le a tax Information about n your household return themselves Anyone you include on your tax return as a dependent, even if they don’t live n with you Anyone else under 21 who you take care of and who lives with you n Your unmarried partner, only if one or both of these apply: n They’re your dependent for tax purposes Ÿ They’re the parent of your child Ÿ For more information, visit HealthCare.gov/income-and-household-information/ household-size, or call the Marketplace Call Center. Where you live can a昀昀ect what health coverage you’re eligible for. Home and/or You’ll enter your home address to show if you’re a resident of the state where mailing addresses you’re looking for coverage. You’ll select your state at the beginning of the for everyone application. applying for You’ll be asked for your mailing address. This is usually the same as your home coverage address. If it’s not, provide a mailing address in the state you live in. If anyone on your application has a di昀昀erent home or mailing address, you’ll need to have it also. Information about Your Marketplace application will ask you for some basic information about everyone everyone applying applying for coverage, including their relationship to you. for coverage

What do I need? Why do I need this? Is it ready? Social Security Your Marketplace application will ask you for each person’s 9-digit SSN, even Numbers (SSNs) for those not applying for coverage. The Marketplace will con昀椀rm the SSNs with everyone on your Social Security, after you give consent at the start of your application. If you don’t application enter an SSN, you may need to provide more information at a later time. Information about If a professional is helping you complete your application, you’ll enter their the professional helping you apply, information. These professionals include navigators, certi昀椀ed application if any counselors, in-person assistance personnel, agents, and brokers. Immigration document If anyone on your application who needs coverage is a lawfully present information (this immigrant, you’ll be asked to provide information from their immigration only applies to documents. lawfully present immigrants) Information on how If you 昀椀le federal income taxes and are married, the Marketplace needs to know if you 昀椀le separately or jointly. You’ll also be asked about who you claim as a tax you’ll 昀椀le your taxes dependent. Your Marketplace application may ask you about the income and expenses of everyone in your household, even those not applying for coverage. The Marketplace counts these as income: Wages and salaries, as reported on your W-2 form and pay stubs n Tips n Net income from any self-employment or business n Unemployment compensation Employer and n income information Social Security payments, including disability payments (but not Supplemental n for everyone in your Security Income (SSI)) household Alimony for divorces and separations 昀椀nalized before January 1, 2019 n Retirement or pension income, including most IRA or 401k withdrawals n Investment income, like dividends or interest n Rental income n Other taxable income n For more information on income or what income sources to include, visit HealthCare.gov/income-and-household-information/income. Your Marketplace application may ask you to estimate what your household’s income will be in the year you’re applying for coverage. Your best estimate If you’re not sure, it’s okay to make your best estimate. If your income of your household changes, or is di昀昀erent than what you estimated, you’ll need to update income this information later. For more information, visit HealthCare.gov/reporting- changes/why-report-changes. To help you calculate your household income, visit HealthCare.gov/income- calculator.

What do I need? Why do I need this? Is it ready? Your Marketplace application will ask if anyone in your household is currently enrolled in health coverage, including Medicaid, the Children’s Health Insurance Current health Program (CHIP), Medicare, TRICARE, VA health care program, Peace Corps, coverage COBRA, retiree insurance, or coverage through individual insurance (including information Marketplace coverage) or an employer. If anyone has coverage now, you may need to enter their policy numbers. You can 昀椀nd this information on their insurance card or documents they get from their plan. Your Marketplace application will ask you for information about any job-based Employer plan you or anyone in your household is eligible for. It will ask you for employer information for contact information for each person in your household who has a job. You can each person in your use the Employer Coverage Tool to help collect this information. You’ll want to 昀椀ll household out this worksheet for each member of your family who’s eligible for traditional health coverage through a job, even if that person isn’t enrolled in the job-based plan or isn’t applying for Marketplace coverage. Health Reimbursement Arrangement (HRA) notice (this only If someone works for a business that o昀昀ers help paying for a health plan or applies if anyone health care expenses through an individual coverage HRA or quali昀椀ed small in your household employer HRA, use the notice from the employer to complete your Marketplace application. Visit HealthCare.gov/job-based-help to learn more. is o昀昀ered an HRA through their employer) HOW CAN I LEARN MORE? To learn more about coverage through the Marketplace or your bene昀椀ts and protections, visit HealthCare.gov or call the Marketplace Call Center at 1-800-318-2596. TTY users can call 1-855-889-4325. You have the right to get Marketplace information in an accessible format, like large print, braille, or audio. You also have the right to 昀椀le a complaint if you feel you’ve been discriminated against. Visit CMS.gov/about-cms/agency-information/aboutwebsite/cmsnondiscriminationnotice, or call the Marketplace Call Center at 1-800-318-2596 for more information. TTY users can call 1-855-889-4325. CMS Product No. 11896 September 2022 This product was produced at U.S. taxpayer expense. ® is a registered service mark of Health Insurance Marketplace the U.S. Department of Health & Human Services.

CMS Product No. 11896 September 2022 This product was produced at U.S. taxpayer expense. ® Health Insurance Marketplace is a registered service mark of the U.S. Department of Health & Human Services.