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- Click ‘Get Form’ to open the Subsidized Application in the editor.
- Begin by filling out Step 1, which requires personal information. Enter your first name, middle name, last name, and suffix. Provide your home address and indicate if you are homeless.
- In Step 2, list all household members who need coverage. Include yourself, spouse, children under 19, and any other dependents. Ensure to provide their names and relationships accurately.
- Proceed to provide income information for each household member in the designated sections. This includes employer details and income amounts from various sources.
- Review all entered information for accuracy before submitting. Use our platform's features to save your progress or make edits as needed.
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