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Enrollment and Change Form399 Revolution Drive, Suite 940, Somerville, MA 02145Application for Enrollment New employee Annual enrollment COBRA Continuation Involuntary loss of prior group coverage*

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How to fill out massachusetts adds special enrollment

01

Visit the Massachusetts Health Connector website

02

Click on the 'Get Started' button

03

Create an account or login if you already have one

04

Fill out the application with your personal information, household size, income, and any other required information

05

Select the special enrollment period option when prompted

06

Submit the application and wait for a confirmation of eligibility

Who needs massachusetts adds special enrollment?

01

Individuals who have experienced a qualifying life event such as losing health coverage, getting married, having a baby, or moving to Massachusetts

02

Those who missed the open enrollment period and did not previously have health insurance

03

Residents of Massachusetts who need to apply for health insurance outside of the standard enrollment period

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What is Massachusetts ADDS special enrollment?

Massachusetts ADDS special enrollment allows eligible residents to enroll in or change their health insurance plans outside of the regular open enrollment period.

Who is required to file Massachusetts ADDS special enrollment?

Individuals who experience qualifying life events, such as changes in household size, income, or loss of other health coverage, are required to file for Massachusetts ADDS special enrollment.

How to fill out Massachusetts ADDS special enrollment?

To fill out Massachusetts ADDS special enrollment, individuals need to access the MassHealth portal or the Health Connector website, complete the application form, and submit required documentation related to their qualifying life events.

What is the purpose of Massachusetts ADDS special enrollment?

The purpose of Massachusetts ADDS special enrollment is to provide individuals and families the opportunity to obtain or adjust their health insurance coverage when they experience significant life changes.

What information must be reported on Massachusetts ADDS special enrollment?

On Massachusetts ADDS special enrollment, individuals must report personal information such as income, household size, and details of the qualifying life event that necessitates enrollment.

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