Marketplace Application Checklist

Knowing what you need in order to apply for a Marketplace plan and why is important and with this information, you’ll be prepared for your Marketplace insurance application. 

 

You will need the following:

Your information: Your marketplace application will ask you for some basic information, including your name and date of birth. 

Information about your household: Your Marketplace application will ask you about each person in your household, even those not applying for coverage. 

For the Marketplace, your household usually includes the tax filers and their tax dependents, but there are exceptions. Sometimes the Marketplace includes people you live with who aren’t in your tax household:

  • Your spouse
  • Your children who live with you, even if they make enough money to file a tax return themselves. 
  • Anyone you include on your tax return as a dependent, even if they don’t live with you. 
  • Anyone else under 21 who you take care of and who lives with you.
  • Your unmarried partner, only if one or both of these apply: 
  1. *They’re your dependent for tax purposes.
  2. *They’re the parent of your child.

Home and/or mailing addresses for everyone applying for coverage:

Where you live can affect what health coverage you’re eligible for. 

You’ll enter your home address to show if you’re a resident of the state where you’re seeking coverage. You’ll select your state at the beginning of the application.

You’ll be asked for your mailing address. Often, this will be the same as your home address. If it’s not, provide a mailing address in the state you live in, if you can.

If anyone on your application has a different home and/or mailing address, you’ll need to that it also. 

Information about everyone applying for coverage: 

Your Marketplace application will ask you to enter some basic information about everyone applying for coverage, including their relationship to you.

Social Security Numbers (SSNs) for everyone on your application:

Your Marketplace application will ask you to enter each person’s 9-digit SSN, even those not applying for coverage. The Marketplace will verify the SSNs with Social Security, based on the consent you’ll give at the start of your application. If you don’t enter an SSN, you may need to provide more information at a later time. 

This information will only be used for eligibility for health coverage. 

Information about the professional helping you apply:

If a professional is helping you complete your application, you’ll need to enter their information. These professionals include navigators, certified application counselors, in-person assistance personnel, agents, and brokers.

Immigration document information (this only applies to lawfully present immigrants): 

If you or anyone else on your application is a lawfully present immigrant, you’ll be asked to provide information from your immigration documents.

Information on how you’ll file your taxes: 

If you file federal income taxes and are married, the Marketplace needs to know if you file separately or jointly. You’ll also be asked about who you claim as a tax dependent. 

Employer & income information for everyone in your household: 

Your Marketplace application may ask you about the income, expenses, and deductions of everyone in your household, even those not applying for coverage. 

The Marketplace accounts for income sources, including:

  • Wages and salaries, as reported on your W-2 form and pay stubs
  • Tips
  • Net income from any self-employment or business
  • Unemployment compensation
  • Social Security payments, including disability payments (but not Supplemental Security Income (SSI)
  • Alimony
  • Retirement or pension income, including most IRA or 401k withdrawals
  • Investment income, like dividends or interest
  • Rental income
  • Other taxable income

Your best estimate of your household income:

Your Marketplace application may ask you to estimate what your household’s income will be in the year you’ll be recovered. 

Health coverage information (this only applies if anyone in your household currently has a health plan)

Your Marketplace application will ask if anyone in your household is currently enrolled in health coverage, including Medicaid, the Children’s Health Insurance Program (CHIP), Medicare, TRICARE, VA health care program, Peace Corps, or coverage through individual insurance or an employer.

If anyone has coverage now, gather their policy numbers. You can find this information on their insurance card or documents they get from their plan. 

Employer information for each person in your household: 

Your Marketplace application will ask you to enter information about offers of health coverage you may have through your job or through a family member’s job. It will also ask you to enter employer contact information for each person in your household who has a job.

A completed “Employer Coverage Tool” (This only applies if anyone in your household has or is eligible for coverage through their employer)

You should fill out an “Employer Coverage Tool” for each member of your household 

Now that you’ve gathered all necessary information, visit HealthCare.gov, call the Marketplace Call Center at 1-800-318-2596, or meet with the professional helping you to apply for or renew your Marketplace coverage. 

Group Plans Inc can assist you with your Marketplace application and any questions or concerns you have regarding your health coverage! Please feel free to reach out to us at (623) 889-7600