Get the free 2014 General Enrollment Application - NMRHCA Home

GENERAL ENROLLMENT APPLICATION 4308 Carlisle Blvd. NE, Suite 104 Albuquerque, NM 87107 1 (800) 233-2576 ? (505) 222-6400 ? (505) 884-8611 fax Please read instructions before completing and PRINT CLEARLY.

How to fill out 2014 general enrollment application

How to fill out 2014 general enrollment application:

1. Gather necessary documents: Before starting the application, gather all the required documents such as identification proof, Social Security number, immigration documents (if applicable), and any relevant health insurance information.
2. Access the application: Visit the official website of the organization or agency providing the 2014 general enrollment application. Look for the specific section or page dedicated to the application and click on it to access the form.
3. Read instructions carefully: Once you have the application form in front of you, make sure to read through the instructions provided. Understanding the guidelines will help you correctly fill out the form and avoid any mistakes or delays.
4. Provide personal information: Begin by filling in your personal information, including your name, address, date of birth, and contact details. Double-check the accuracy of the information before moving on to the next section.
5. Answer eligibility questions: The application may include a section with eligibility questions. Answer them truthfully and provide any necessary supporting documents if required.
6. Provide income information: The 2014 general enrollment application may require you to provide details about your income. This can include employment income, government benefits, retirement income, or any other sources of financial support. Complete this section accurately and attach relevant documents or proof as instructed.
7. Include household information: If applicable, provide information about other members in your household, such as spouse or dependents. This information helps determine eligibility and potential coverage options.
8. Choose health insurance plan: The application may allow you to choose a health insurance plan from the available options. Review the plans carefully, considering factors such as coverage, cost, and healthcare provider networks. Select the plan that best suits your needs and indicate your choice on the form.
9. Review and submit: Take the time to review the completed application form for any errors or missing information. Make any necessary corrections before submitting the form as instructed. Keep a copy of the submitted application for your records.

Who needs 2014 general enrollment application?

1. Individuals without existing health insurance coverage: The 2014 general enrollment application is typically required for individuals who do not currently have any health insurance coverage.
2. Those seeking coverage through government programs: The application may be necessary for people seeking coverage through government programs such as Medicaid or the Children's Health Insurance Program (CHIP).
3. Individuals experiencing a qualifying life event: If someone has experienced a qualifying life event, such as losing their job or getting married, they may need to fill out the 2014 general enrollment application to apply for coverage outside of the usual enrollment periods.
4. Those wanting to explore new coverage options: The application is useful for individuals who want to explore new health insurance coverage options available for the year 2014.
5. Anyone required by law: Depending on the specific regulations and laws of a particular country or state, there may be legal requirements for certain individuals to complete the 2014 general enrollment application to maintain compliance with healthcare regulations.

Note: The content provided is for informational purposes only and may not be applicable to all regions or countries. It is important to consult official sources and guidelines specific to your location when filling out any enrollment application.

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