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Sign Up for Health Insurance at the ANC 5D Meeting: 11-12-13, at 7:00 pm at the Fifth District

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  • Kathy Henderson
    Information You Need to Complete a DC Health Link Application In order to complete an application at DCHealthLink.com for assistance paying for a private
    Message 1 of 1 , Nov 11, 2013
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      Information You Need to Complete a DC Health Link Application
      In order to complete an application at DCHealthLink.com for assistance paying for a private health insurance plan or for Medicaid, you will need to have the information listed on this checklist about you and the other members of your household. Having this information with you when you fill out the application will help us complete your application as quickly as possible.
      FOR EVERYONE IN THE HOUSEHOLD (EVEN THOSE NOT APPLYING):
      Basic information:
       First Name  Last Name  Date of Birth  Gender  Address (if not homeless)
      Income:
       Types of income (for example, wages and salaries, Social Security benefits, etc.)  Amounts of income and how often the person receives it
       The approximate date the person started receiving each type of income
       The total amount of income your household expects to receive in 2014
      Adjustments to Income:
       Types of adjustments (These are the adjustments to income you can take on your taxes. For example, student loan interest paid, IRA deduction, etc.)
       Amount of the adjustments taken each year
       The approximate date the person started taking this adjustment
      FOR THOSE APPLYING FOR COVERAGE:
      Official Information:
       Social Security Number (for those who have one)  Citizenship
       Whether or not household members are US citizens
       If you are unsure about your eligibility due to your immigration status, you can find a list of eligible immigration statuses in the “Forms” section of www.DCHealthLink.com. You will also need immigration document details for anyone with an eligible immigration status.

      Kathy Henderson, 5D05
      khenderson029@...
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