Applications, forms, & notices

Applications, forms, & notices

Find applications and forms to apply for health care and financial assistance, file an appeal, and enroll in a Catastrophic plan. You can also get samples of notices we mail to consumers and additional resources related to the enrollment process, appeals, and taxes.

Applications & forms

  • Individual & family applications- Use these forms to apply for Marketplace coverage, with and without financial assistance.
  • Exemption applications -You need an exemption if you’re 30 or older and want to enroll in a "Catastrophic" health plan. There are 2 types of exemptions: affordability and hardship. Use these forms to apply for an exemption.


  • Notices we mail—Find eligibility notices and letters for redetermination and automatic enrollments, data matching issues, tax information, and more.
  • Tax form notices—Get tax 1095-A forms we mail, fact sheets, and resources about filing taxes.

Additional resources

Page Last Modified:
09/21/2023 08:23 AM