Has the marketplace requested documents in regards to your health insurance? Here you can find a list of acceptable documents and text a clear picture to (972) 898-9362 or email it to [email protected]

ACCEPTABLE INCOME VERIFICATION DOCUMENTS

1040 Tax ReturnW2 and/or 1099Pay stub documentationSelf Employment documentationSocial Security StatementsUnemployment Benefits Letter

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VERIFY NON MEDICAID/CHIP COVERAGE

Letter from medicaidLetter from CHIP

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VERIFY SOCIAL SECURITY NUMBER

Social Security CardTax form(s)Benefit or Income Statement

VERIFY NON INCARCERATED

Official Release PapersDocument showing employmentProof of ResidentSigned/Notarized Affidavit

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ACCEPTABLE DOCUMENTS TO VERIFY CITIZENSHIP AND IDENTITY

U.S. passportCertificate of Naturalization (N-550/N-570)Certificate of Citizenship (N-560/N-561)State-issued enhanced driver's license (available in Michigan, New York, Vermont, and Washington)Document from federally recognized Indian tribe that includes your name and the name of the federally recognized Indian tribe that issued the document, and shows your membership, enrollment, or affiliation with the tribe. Documents you can provide include:

A tribal enrollment card A Certificate of Degree of Indian Blood A tribal census document Documents on tribal letterhead signed by a tribal officialIf you don’t have any of the documents above, you can submit 2 documents — one from each list below.You can submit one of these documents:

U.S. public birth certificateConsular Report of Birth Abroad (FS-240, CRBA)Certification of Report of Birth (DS-1350)Certification of Birth Abroad (FS-545)U.S. Citizen Identification Card (I-197 or the prior version I-179)Northern Mariana Card (I-873)Final adoption decree showing the person’s name and U.S. place of birthU.S. Civil Service Employment Record showing employment before June 1, 1976Military record showing a U.S. place of birthU.S. medical record from a clinic, hospital, physician, midwife, or institution showing a U.S. place of birthU.S. life, health, or other insurance record showing U.S. place of birthReligious record showing U.S. place of birth recorded in the U.S.School record showing the child’s name and U.S. place of birthFederal or state census record showing U.S. citizenship or U.S. place of birthDocumentation of a foreign-born adopted child who received automatic U.S. citizenship (IR3 or IH3)

AND one of these documents (that has a photograph or other information, like your name, age, race, height, weight, eye color, or address):

Driver's license issued by a state or territory or ID card issued by the federal, state, or local governmentSchool identification cardU.S. military card or draft record or military dependent’s identification cardU.S. Coast Guard Merchant Mariner cardVoter Registration CardA clinic, doctor, hospital, or school record, including preschool or day care records (for children under 19 years old)2 documents containing consistent information that proves your identity, like employer IDs, high school and college diplomas, marriage certificates, divorce decrees, property deeds, or titles

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