What information do I need to see if I can get a subsidy?

image of questionnaire

Only a small amount of information is required in order for us to help you determine (a)  if you qualify for a subsidy, (b) what plans are available in your area, and (c) what would be best for you.

Simply email us the name, date of birth and smoking status of each person to be covered.  Include your zip code, and (to determine subsidy) your adjusted gross income for this year.  Be sure to include a phone number so we can get back to you!