Material Order Form - Health and Welfare 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your contact information in the 'From' section, including your fax and phone number.
  3. In the 'To' section, enter the recipient's name (Nicole Runner) along with the provided fax and phone numbers.
  4. Indicate the quantity of each item you wish to order by checking the corresponding boxes for materials such as Wallet Trackers and Risk Factor Brochures.
  5. Provide a mailing address where the materials should be sent, ensuring accuracy for timely delivery.
  6. On the back side of the form, describe how and where these materials will be distributed to assist with evaluation efforts.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
If you experience any changes in your income or family size, you should update your Marketplace account or call customer service at 1-855-355-5777.
Contact 311 311 is available online, by texting 311-692, or by calling 3-1-1 from within the City or 212-NEW-YORK outside the five boroughs.
If you have been asked to provide documentation regarding your account, you can upload the documents in several ways: Log into your NY State of Health account at nystateofhealth.ny.gov. Meet with an enrollment assistor to receive assistance in uploading the documentation.
Call the Marketplace at 1-855-355-5777 for more information or help applying for coverage in your language.
Meet with an enrollment assistor to receive assistance with updating your account. Call the NY State of Health Customer Service Center at 1-855-355-5777.

People also ask

You can docHub NY State of Health by calling us toll free at 1-855-355-5777 (TTY: 1-800-662-1220). If you have questions about health plans, financial assistance, or anything else about NY State of Health please contact our Customer Service Representatives at 1-855-355-5777.
The NYSOH Mobile Upload app has new, elevated features! From securely uploading your renewal documents to finding your health plan details, our app is here for you. Download from Google Play or the App Store today!
Other consumers must apply to the NY State of Health at nystateofhealth.ny.gov or by calling 855-355-5777. HRAs Office of Citywide Health Insurance Access also has resources for individuals and small businesses who want to learn more about public and private health insurance, including the Affordable Care Act.

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