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Orange County Sheriffs Office Health Insurance Subsidy Certification Form for Retirees with insurance coverage NOT administered by TASCRetiree SSN Retiree Name (print full legal name)Effective September

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What is health insurance subsidy certification?

Health insurance subsidy certification is a form that individuals fill out to determine if they are eligible for financial assistance to help pay for their health insurance premiums.

Who is required to file health insurance subsidy certification?

Individuals who are applying for or receiving health insurance subsidies through the Affordable Care Act marketplace are required to file health insurance subsidy certification.

How to fill out health insurance subsidy certification?

To fill out health insurance subsidy certification, individuals need to provide information about their household size, income, and any health coverage they currently have.

What is the purpose of health insurance subsidy certification?

The purpose of health insurance subsidy certification is to ensure that individuals receive the correct amount of financial assistance to help them pay for their health insurance premiums.

What information must be reported on health insurance subsidy certification?

Information that must be reported on health insurance subsidy certification includes household size, income, and any health coverage currently held.

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