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In some cases, Washington Healthplanfinder needs additional information about your household so you can enroll in coverage. This is called being “conditionally eligible” and it happens when the systems that check your application can’t confirm some of your information.

If you’re conditionally eligible and don’t submit documents before the deadline, you and others in your household could lose your health insurance or the amount of financial help you’re getting could change.

Accepted Documents

Use the sections below to find the most common types of accepted documents for each category. There are also forms to download when you can’t submit the recommended documents. See a full list of accepted documents.

Proof of Income or Deductions

You’ll need to provide proof of income for each household member on your application.

Some example documents that prove income include:

  • Payroll statements for the last 60 days
  • The first 2 pages your most recent tax return
  • Self-employment Profit and Loss document for the past 3 months
  • Receipts showing recent payment of reported deductions

What will happen if you miss the deadline?

After the deadline, we’ll verify your income using federal and state data that is available from the IRS and the Washington State Department of Employment Security. You could lose your tax credits or the amount of tax credits you’re eligible for could change.

Exception to Verification for Income

You can also use this form to explain your household income or deductions.

Proof of Lawful Presence

Some example documents that prove lawful presence include:

  • Permanent Resident Card (Form I-551)
  • Refugee Travel Document (Form I-571)
  • Valid foreign passport with I-94 stamp of admission
  • Visa with I-94 stamp of admission

What will happen if you miss the deadline?

After the deadline, your coverage will be canceled and you won’t be able to enroll until the next open enrollment period (unless you qualify for a special enrollment period).

Proof of Citizenship

Some example documents that prove your citizenship include:

  • U.S. Passport or U.S. Passport card
  • Enhanced Driver’s license or Enhanced State ID (must say “enhanced”)
  • Certificate of Naturalization
  • Official U.S. county birth certificate

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After the deadline, your coverage will be canceled and you won’t be able to enroll until the next open enrollment period (unless you qualify for a special enrollment period).

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This includes coverage through the Veteran’s Administration, TRICARE, and the Peace Corps.

Some example documents that prove you don’t have other coverage include:

  • Copy of insurance policy showing enrollment end date
  • Termination letter from insurance company
  • Declaration of Ineligibility for Other Health Insurance Coverage form (below)

What will happen if you miss the deadline?

After the deadline, your coverage will be canceled and you won’t be able to enroll until the next open enrollment period (unless you qualify for a special enrollment period). For Medicare only, you’ll remain enrolled but you’ll lose your tax credits.

Declaration of Ineligibility for Other Health Insurance Coverage

You can also use this form to attest that you or a household member isn’t eligible for other coverage.

Proof of Non-Incarceration

Use this form to attest that you or a household member isn’t incarcerated in a city, county, state, or federal jail or prison.

What will happen if you miss the deadline?

After the deadline, your coverage will be canceled and you won’t be able to enroll until the next open enrollment period (unless you qualify for a special enrollment period).

Proof of Social Security Number

Some example documents that prove your Social Security number include:

  • Social Security card
  • IRS, military, or payroll documents showing complete SSN
  • Proof of a pending Social Security Application

What will happen if you miss the deadline?

After the deadline, your coverage will be canceled and you won’t be able to enroll until the next open enrollment period (unless you qualify for a special enrollment period).

Proof of Tribal Membership

Submit any official document issued by a HGTYU Color The Peace Of The Beach Wear During And Shoes Drag Shoes Set Comfortable Thick A Outdoor And Drop Flat Champagne To Slippers The Base Keeping Summer And Operations federally recognized tribe that shows that you’re a member of that tribe, such as:

  • Tribal Membership or Enrollment Card
  • Certificate of Indian Blood (must state that you’re a member or enrolled in the tribe)

What will happen if you miss the deadline?

After the deadline, you’ll lose your eligibility for tribal benefits.

Tribal Statement of Good Faith Effort

You can also use this form to explain why you’re unable to prove your membership in a federally recognized tribe or Alaska Native Corporation.

Submitting Documents

WAPlanfinder Mobile App

Download our mobile app to submit your documents with the snap of a photo. Sign in to your account, go to Document Center, upload your documents and you’re done.

 

 

Online at wahealthplanfinder.org 

Submit your documents by visiting www.wahealthplanfinder.org.

  1. Sign in to your account
  2. Click the tab “Document Center”
  3. The documents you need to submit will be under the “Documents Needed” section
  4. Click “Upload Documents”

Fax or Mail

You can also fax or mail a copy of your documents. We can’t return original copies to you. Mailing documents will delay processing.

Color Shoes Flat And Drop Summer Thick The Shoes Comfortable And Outdoor The During A Operations Slippers Set Peace And Of The Champagne Drag Wear Beach Base HGTYU To Keeping Fax: 360-841-7620

Mail:

Washington Healthplanfinder
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P.O. Box 946, Olympia, WA 98507

IMPORTANT! Don’t mail your documents if your deadline is less than 2 weeks away.