Are you shopping for a new health insurance plan? Whether you apply during an Open or Special Enrollment Period, you may need to confirm some of your information with additional documentation. Your enrollment won’t be completed until you provide any necessary documents, so it’s a great idea to have these available and ready to submit.
Confirming Your Identity, Date of Birth, Citizenship, or Immigration Status
One of the following documents can be used as proof of your identity, date of birth, citizenship, or immigration status.
Proof of Identity, Date of Birth, and Citizenship/Immigration Status
Certificate of Naturalization (DHS Forms N-550 or N-570)
Certificate of U.S. Citizenship (DHS Forms N-560 or N-561)
Enhanced Driver’s License (available in Michigan, New York, Vermont, and Washington)
If you do not have one of the documents listed above, two of the documents listed below (one from each column) can be used as proof of your citizenship and/or identity.
Proof of Citizenship or Identity (requires one from each column)
Native American Tribal Document
A tribal enrollment card
A Certificate of Degree of Indian Blood
A tribal census document
Documents on tribal letterhead signed by a tribal official
U.S. Birth Certificate
Consular Report of Birth Abroad (FS-240, CRBA)
Certification of Report of Birth (DS-1350)
Certification of Birth Abroad (FS-545)
U.S. Citizen ID card (Form I-197 or I-179)
Northern Mariana Card (I-873)
Final adoption decree (showing the person’s name and U.S. place of birth)
U.S. Civil Service Employment Record showing employment before June 1, 1976
Military record of service showing U.S. place of birth
U.S. medical record from a clinic, hospital, physician, midwife, or institution showing a U.S. place of birth
U.S. life, health, or other insurance record showing U.S. place of birth
Religious record showing U.S. place of birth recorded in the U.S.
School record showing the child’s name and U.S. place of birth
Federal or state census record showing U.S. citizenship or U.S. place of birth
Documentation of a foreign-born adopted child who received automatic U.S. citizenship (IR3 or IH3)
Driver’s license issued by a state or territory or ID card issued by the federal, state, or local government
School identification card
U.S. military card or draft record or military dependent’s identification card
U.S. Coast Guard Merchant Mariner card
Voter Registration Card
A clinic, doctor, hospital, or school record, including preschool or daycare records (for children under 19 years old)
2 documents containing consistent information that proves your identity, like employer IDs, high school and college diplomas, marriage certificates, divorce decrees, property deeds, or titles
For those who are not citizens, there are some common forms you can use to prove your immigration status. One of the following documents can be used to prove your immigration status.
Proof of Immigration Status and Identity
Permanent Resident Card, “Green Card” (I-551)
Reentry Permit (I-327)
Refugee Travel Document (I-571)
Employment Authorization Card (I-766)
Machine Readable Immigrant Visa (with temporary I-551 language)
Temporary I-551 Stamp (on Passport or I-94/I-94A)
Arrival/Departure Record (I-94/I-94A)
Arrival/Departure Record in foreign passport (I-94)
Certificate of Eligibility for Nonimmigrant Student Status (I-20)
Certificate of Eligibility for Exchange Visitor Status (DS-2019)
Notice of Action (I-797)
Document indicating a member of a federally recognized Indian tribe or American Indian born in Canada
Certification from U.S. Department of Health and Human Services (HHS) Office of Refugee Resettlement (ORR)
Document indicating withholding of removal (or withholding of deportation)
Office of Refugee Resettlement (ORR) eligibility letter (if under 18)
Resident of American Samoa Card
One of the following documents can be used as proof of your Social Security Number (SSN). The document must include your first name, last name, and SSN.
Proof of Social Security Number
Social Security card
1040 Tax Return (federal or state versions acceptable)
Court Order Granting a Name Change (including your original first and last name, new first and last name, and SSN)
Confirming Your Home Address
One of the following documents can be used as proof of your home address. The address must match what you submitted during your health insurance application. Additionally, the proof you use must be dated within 6 months from when you signed the application.
Proof of Home Address
Lease/letter/rent receipt with your home address from landlord
Utility bill (gas, electric, phone, cable, fuel, or water)
U.S. Postal Service change of address confirmation letter
Property tax records or mortgage statement
Driver’s license (if issued in the past 6 months)
Government ID card with address
A letter from a government organization
Postmarked envelope or postcard (cannot use if sent to a P.O. Box)
Confirming Your Current or Future Income
One document for each type of income you receive will be needed when providing proof of income. This includes your current income, as well as future income you may get from unemployment benefits or upcoming lawsuits. It will also include the income of anyone living with you.
A letter, written statement, or copy of a check or pay stub from your employer (or whoever is providing payment) should be provided. Additionally, documents should be dated, include the name of the payor, and show your gross income for the pay period. Please use the most recent document as proof of income before any taxes or other deductions. Documents must be for the last 4 weeks, regardless of your frequency of pay.
Proof of Wages and Salary
1040 federal or state tax return
Wages and tax statement (W-2 and/ or 1099, including 1099 MISC, 1099G, 1099R, 1099SSA, 1099DIV, 1099SS, 1099INT)
Letter from employer on company letterhead, signed and dated
Current signed and dated income tax return and all SchedulesBusiness/payroll records
Proof of Self-Employment
1040 SE with Schedule C, F, or SE tax documents
1065 Schedule K1 with Schedule E tax documents
Records of earnings and expenses/business records
Receipts for all allowable expenses
Signed timesheets and receipt of payroll, if you have employees
Most recent quarterly or year-to-date profit and loss statement
Proof of Unemployment Benefits
Monthly benefit statement from Department of Labor
Printout of recipient’s account information from the Department of Labor’s website
Copy of Direct Payment Card with printout
Correspondence from the Department of Labor
Proof of Private Pensions/Annuities
Statement from pension/annuity
Proof of Social Security Benefits
Annual benefit statement
Correspondence from Social Security Administration
Proof of Workers’ Compensation
Proof of Child Support/Alimony
Letter from person providing support
Letter from court
Child support/alimony check stub
Copy of EPPICard with printout
Copy of child support account information
Copy of bank statement showing direct deposit
Proof of Veterans’ Benefits
Benefit check stub
Correspondence from Veterans Affairs
Proof of Military Pay
Proof of Income from Rent or Room/Board
Letter from roomer, boarder, tenant
Proof of Interest/Dividends/Royalties
Recent statement from bank, credit union, or financial institution
Letter from broker or agent
1099 or tax return (if no other documentation is available)
Proof of Support from Other Family Members
Signed statement or letter from family member
Confirming Child or Paternal Care
One of the following documents can be used as proof if you pay for child or parental care while you work.
Proof of Child or Parental Care
Written statement from daycare center or other child/adult care provider
Canceled checks or receipts that show your payments
Confirming Your Insurance Status
Any of the following documents that apply should be used when explaining proof of insurance.
Proof of Insurance
Current Insurance Policy document, Certificate of Insurance, or Insurance Card
Health Insurance Termination Letter (including Medicaid or CHIP)
COBRA coverage letter
Letter or statement from a Medicaid or CHIP agency that shows that you or your family members aren’t enrolled in or eligible for Medicaid or CHIP
Letter or statement from a Medicaid agency showing that you or a family member are enrolled in a Medicaid program that’s not considered qualifying health coverage
Denial letter from your state Medicaid or CHIP agency
Letter from the Marketplace that says your state Medicaid or CHIP agency sent your application to the Marketplace
Screenshot of your eligibility results from your state’s online application
Letter or statement from TRICARE that shows the expiration or un-enrollment date of previous health coverage
Letter or statement from TRICARE that confirms ineligibility for health coverage
Letter, statement, or other document indicating a life change event (like divorce) that would make you or a family member ineligible for TRICARE coverage
Letter or statement from TRICARE or other government agency showing that you or a family member are enrolled in a TRICARE program that’s not considered qualifying health coverage
Letter from the VA that shows the expiration date of previous health coverage
Letter from the Peace Corps with the expiration date for any previous health coverage or a letter showing that you never had this type of coverage
One of the following documents can be used as proof that your employer does not provide minimal essential (qualifying health) coverage.
Proof that Employer Doesn’t Provide Minimum Essential 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 is 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
Documents for Proof of Marriage, Pregnancy, and Adoption/Placement
One of the following documents can be used as proof that you were married.
Proof of Marriage
Official public record of marriage
Marriage affidavit or affidavit of support (signed and dated by the officiant or the official witness of the marriage)
One of the following documents can be used as proof that you are pregnant. This documentation is for pregnant women only.
Proof of Pregnancy
Presumptive Eligibility Screening Worksheet for pregnant women completed by a qualified provider that includes expected date of delivery
Statement from medical professional (such as a doctor or nurse practitioner) with the expected date of delivery
WIC Medical Referral Form that includes expected date of delivery
One of the following documents can be used as proof of an adoption, foster placement, or court-ordered dependency. The documents must have the name of the dependent and the date the person became a dependent.
Proof of Adoption or Placement
Adoption letter or record (needs to be signed by a government or court official)
Foster care papers (needs to be signed by a government or court official)
Child support or other court order (needs to be signed by a court official)
Document for legal guardianship (needs to be a government-issued or legal document)
Medical support order
U.S. Department of Homeland Security (DHS) immigration document
Confirming Eligible Medical Expenses
To receive a determination for eligible medical expenses from the past 3 months, all the following documents should be provided.
Proof for Determination of Eligible Medical Expenses
Proof of income for the month(s) in which the expense was incurred
Proof of residency/home address for the month(s) in which the expense was incurred
Medical bills for last three months, whether or not you paid them
Confirming Your Incarceration Status
One of following documents can be used as proof that you are not currently incarcerated.
Proof of Incarceration Status
Official release papers from the institution or Department of Corrections
Unexpired state ID, driver’s license, work ID, or passport
Federal, state, or local benefit letter
Clinic, doctor, or hospital records for services provided
Medical claim explanation of benefits provided
School record/schedule showing enrollment (like for college students)
Bank or credit card statement showing transaction history (showing only your name, but not a joint account)
Cell phone bill (showing only your name)
Lease (must be an active lease where you’re currently residing)
Signed notarized statement from the individual with alleged false incarceration inconsistency showing that you’re living in the community and includes your name, date of birth, and address
Written statement from someone within the community which shows your name, date of birth, address, phone number, your relationship with the person with alleged false incarceration inconsistency (if it’s not you), and that you’re present and participating within the community
Rent receipts (showing only your name)
How to Submit Insurance Documents
To upload a required document, select “Upload Document.” Find the document file on your computer by choosing “Select File to Upload.” Select the file and click “Upload.”
You may submit pictures or scanned files.
These types of files are acceptable: PDF, JPEG, JPG, GIF, PNG, XML, TIFF, and BMP.
The file can’t be larger than 10 MB.
Don’t include any special characters such as these in the file name: / \ : * ? ” < > |.
Do I Need These Documents to Apply for a Plan?
If you aren’t sure what documentation you will need, don’t worry. You will be asked for the type of proof at the end of your application process. You can still shop and apply for a plan without these documents. However, your enrollment in a plan won’t be complete until you provide any required documents.
This is not an exhaustive list of documents that can be provided during the health insurance enrollment process.