Consumer Forms

Consumer Forms

The forms below are to help you establish an account once you are when ready to enroll in the marketplace. 

BeWellnm Confidentality Statement
BeWellnm Consent Form

Marketplace Account Information
YesNM Account Information

ACA update and Important Tax Information

Have questions about how the ACA impacts the IRS click on this link to learn morewww.irs.gov/affordable-care-act/individuals-and-families

Have you received your 1095-A, B, and C form in the mail yet?  It's your Health Insurance Marketplace Statement.  Like the W-2 you get from your employer, if you enrolled and recieved coverage through the Marketplace than you should recieve a 1095-A in the mail.  If you have not received it in the mail when you are ready to file your taxes then you can get an electronic copy by logging into your Marketplace account on HealthCare.gov.

The links below allow you to download and printout the Health Coverage Forms for 2017 Statements:

Learn more now

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