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 more
: www.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 Health Coverage Statements: