Helpful Tools

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

 

Charts