Tools
Our Health Coverage Guide is also available in Spanish at www. guiadecoberturadesalud.org.
Downloads
Employee Census Data
Most insurers require new customers to complete a form like this before they quote premiums.
Action Plan Checklist
Use this to keep track of the essential tasks associated with shopping for and purchasing coverage.
Affidavit of Domestic Partnership
View an example of the information some insurers require if you offer coverage to unmarried domestic partners of employees. Affidavits and requirements vary from one insurer to the next.
Tax Forms
Form 1040 – Individual Income Tax Return
Form 8965 – Health Coverage Exemptions
Form 1095-A – Health Insurance Marketplace Statement
Form 8962 – Premium Tax Credit