Checklist for Enrollment:  How it works and a list of what you need to enroll at an event, in person or by phone.     DOWNLOAD HERE

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Employer Coverage Tool:  Access the Marketplace Employer Coverage Tool.     DOWNLOAD HERE

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Starting October 1, 2013, you can apply for health coverage through the new Health Insurance Marketplace. Coverage begins as soon as January 1, 2014. The Marketplace is designed to help you find health coverage that fits your budget and meets your needs.

For your convenience, there are different ways to apply to the Marketplace. The fastest way is to apply online at HealthCare.gov. If you apply online, you’ll also get your eligibility results right away.

If you prefer to fill out and mail in your application, download the appropriate form below, fill out, sign and mail completed application to:

Health Insurance Marketplace
Dept. of Health and Human Services
465 Industrial Blvd.
London, KY 40750-0001

Marketplace Consumer Application

Application for Health Coverage & Help Paying Costs (Short Form)

Instructions to Help You Complete the Application for Health Coverage & Help Paying Costs (Short Form)

Application for Health Coverage & Help Paying Costs (Long Form)

Instructions to Help You Complete the Application for Health Coverage & Help Paying Costs (Long Form)