Documents to confirm you don’t have minimal essential job-based coverage

Submit one of the documents below if you need to confirm that your job-based coverage isn’t qualifying health coverage.

  • Completed Employer Coverage Tool (PDF) and a cover letter signed by the employer

  • Letter or other documentation from an employer or other documentation with this information: 

      - Statement that the employer doesn’t currently offer you (or your family member)           coverage
      - Statement that the employer doesn’t provide coverage that isn’t qualifying
        health coverage
     - Statement showing the cost of your share of the premium for the lowest-cost self-        only plan that meets the minimum value standard (factoring in wellness                           incentives), if offered

  • Health insurance letter that contains confirmation of health coverage and expiration dates for coverage received outside of the Marketplace

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