APPLY FOR ACA MARKETPLACE INSURANCE

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Information Needed to Gather:

If you are choosing to not take your employee healthcare,

also obtain the information listed here:

Check if you may qualify for help:

*Results not binding

! To see if you qualify for a subsidized plan: ! To see what insurance plans are available

for purchase in your area:

Four Ways to Apply

Option 1: Apply Online

! 1. Create an account: ! 2. Fill out the online application.
! *If your household files more than one tax return, call the Marketplace

Call Center at 1-800-318-2596

! 3. Compare your options. ! 4. Enroll

Option 2: Apply by Phone

!CALL: 1-800-318-2596
! TTY: 1-855-889-4325

Option 3: Apply In Person

! Find Application Assisters near you:

Option 4: Apply by Paper

! Application form: ! Instructions: