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New Health Insurance Marketplace Coverage Options and Your Health CoverageForm Approved OMB No. 12100149 (expires 6302023)PART A: General Information When key parts of the health care law take effect
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How to fill out new health insurance marketplace

01
Gather necessary information such as social security numbers for all family members, income information, and employer-provided coverage information.
02
Visit the official health insurance marketplace website and create an account.
03
Fill out the online application form with accurate information about you and your family's healthcare needs.
04
Compare the different health insurance plans available and choose the one that best fits your needs and budget.
05
Complete the enrollment process by selecting a plan and submitting the required documentation.
06
Pay the first month's premium to activate your new health insurance coverage.

Who needs new health insurance marketplace?

01
Individuals who do not have health insurance through their employer
02
Self-employed individuals
03
Individuals who have recently lost their job and insurance coverage
04
People who are not eligible for government-sponsored health insurance programs
05
Anyone looking to find more affordable health insurance options
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The new health insurance marketplace is an online platform where individuals and small businesses can compare and purchase health insurance plans.
Individuals and families who are not covered by employer-sponsored health insurance are required to file the new health insurance marketplace.
To fill out the new health insurance marketplace, individuals can visit the official website and follow the instructions provided to compare plans and enroll in a health insurance policy.
The purpose of the new health insurance marketplace is to provide a centralized location for individuals and small businesses to shop for and purchase health insurance plans that best fit their needs and budget.
Information such as household income, family size, and current health insurance coverage must be reported on the new health insurance marketplace.
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