Healthcare Health Insurance (Obamacare) Individual short-form from Healthcare.gov

Form Approved OMB No. 0938-1191 Application for Health Coverage & Help Paying Costs (Short Form) TH IN G S TO K N O W Use this application to see what coverage you qualify…

Documents Health Insurance Marketplace Individual short form (healthcare.gov)

Form Approved OMB No. 0938-1191 Application for Health Coverage & Help Paying Costs (Short Form) TH IN G S TO K N O W Use this application to see what coverage you qualify…