Before you fill out your application, please read the important information and tips below.
Then, choose the application that's right for you at the bottom of this page.
1) You will only have 1 hour to complete the application -
be prepared before you start.
Since you will only have 1 hour to complete the application online
since you will not be able to save the application online
, it's important
to be prepared.
It's a good idea to gather the following information before you start your application.
For each person who is applying for health insurance, you must include:
- Social Security number (if you have one)
- Alien Resident number (if you have one)
If you choose to apply for financial savings, include the following
information for all applicable household members:
- Tax-filing information
- Income information
By gathering this information before you start your application, you should be able
to finish filling it out within 1 hour. After 1 hour, your information will be
lost and you will need to start over. If you think you'll need more time, you can
print the application, fill it out and then mail or fax at your convenience.
2) Protect your identity
If you are using a shared computer, fully close the browser after submitting
your application. This will keep other users from having access to your