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New Health Insurance Marketplace Coverage Options and Your Health CoverageForm Approved 0 MB No. 12100149 (expires 5312020)PART A: General InformationWhen key parts of the health care law take effect

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How to fill out marketplace coverage

01

Create an account on the marketplace website

02

Complete the application with information about you and your household

03

Choose a plan that fits your needs and budget

04

Submit any required documents for verification

05

Review your application and make any necessary updates

06

Make your first premium payment to activate your coverage

Who needs marketplace coverage?

01

Individuals who do not have employer-sponsored health insurance

02

Small business owners looking to provide coverage for their employees

03

Those who do not qualify for government-sponsored health programs like Medicaid or Medicare

04

People looking for affordable health insurance options

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What is marketplace coverage?

Marketplace coverage refers to health insurance plans that are purchased through the Health Insurance Marketplace set up by the Affordable Care Act.

Who is required to file marketplace coverage?

Individuals who purchase health insurance through the Health Insurance Marketplace are required to file marketplace coverage.

How to fill out marketplace coverage?

Marketplace coverage can be filled out online through the Health Insurance Marketplace website or by submitting a paper application.

What is the purpose of marketplace coverage?

The purpose of marketplace coverage is to provide individuals with access to affordable health insurance options.

What information must be reported on marketplace coverage?

Marketplace coverage must include information about the individual, their household, income, and health insurance plan.

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