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'); } Loading, please wait... Home For Business Medical Insurance Real Estate Tax & Finance Legal Human Resources See All Developers Get Started API Documentation API Pricing Integrations Salesforce Dynamics See All Features Support Start Free Trial Pricing Log in Catalog Miscellaneous Resume Template Resume Outline Functional Resume Outline Combination Resume Sample Show details Hide details New Health Insurance Marketplace Coverage Options and Your Health Coverage Form Approved OMB No. 1210-0149 expires 1-31-2017 PART A General Information When key parts of the health care law take effect in 2014 there will be a new way to buy health insurance the Health Insurance Marketplace. To assist you as you evaluate options for you and your family this notice provides some basic information about the new Marketplace and employment based health coverage offered by your employer. What is... Get the free omb no 1210 0149 2017-2020 form Get Form Fill 1210 0149: Try Risk Free Form Popularity omb 1210 0149 fillable form Get, Create, Make and Sign omb 1210 0149 form Get Form eSign Fax Email Add Annotation Share Form Omb No 1210 0149 is not the form you're looking for? Search for another form here. Search Comments and Help with new health insurance marketplace coverage 2019 form Video instructions and help with filling out and completing omb no 1210 0149 Instructions and Help about form omb no 1210 This is a video for individuals who need to select a plan on the new health insurance marketplace which is run by the federal government. Here you can find and enroll in a health plan and determine if you qualify for financial assistance. We'll guide you through an easy three-step process to create your account, determine your eligibility, and enroll in a plan. After creating your account you can visit healthcare.gov at any time to complete your enrollment. To get started, go to healthcare.gov. You'll need social security numbers and income information for yourself and anyone else you're applying for. Click "Log in" at the top right corner of the home page. You must create an account before you can search for a plan. Now let's create your account. Click "Create one now" below the login button. Next you'll find a state selection page. From the white drop-down menu, select Hawaii. Click "Learn about enrolling in 2016." Scroll down and click the green "Create your healthcare.gov account" box. Enter your zip code and select "Start a marketplace application." Then click the green "continue" button. Continue following the directions, such as filling in your address and answering security questions. Check the box at the bottom if you understand and agree with the healthcare.gov privacy policy. Click the green "Create account" button. Sign into the email you used when you created your account. Open the email from healthcare.gov and click the verification link. A message will appear to verify your email address. Go back to the top right corner of healthcare.gov and click "Log in." Here, fill in the e-mail and password you just used to set up your marketplace account. Review the terms and conditions and accept if you agree. Click the green button to start a new application. Choose Hawaii from the drop-down menu and click "Start my application." Please note that if you ever need to leave and come back to your application at a later time, or retrieve a confirmation number, simply log back in to your account. Complete your identity and contact information. Click the green "continue" button. Next, answer a few questions to verify your identity. Read through the privacy and use of information statement. If you agree, check the "agree" box and click the green "Take me to the application" button. Answer a few questions about your marital status, dependents such as your children, and estimated annual income. Here you can reference your last year's tax filings. Click "continue." You'll be directed to a series of yes or no questions. Review and answer these questions and continue. Your account has now been successfully created. Let's move on to step two, where we'll determine your eligibility. To start, click the... Related Content - form omb no 1210 0149 Technical Release No. 2013-02 - United States Department of Labor May 8, 2013 ... The notice specified by this guidance is a collection of information approved under OMB Control Number 1210-0149, which currently is ... Required Federal Marketplace Notice (MS Word) - State of Tennessee OMB No. 1210-0149. New Health Insurance Marketplace Coverage. Options and Your Health Coverage. PART A: General Information. There is a new way to ... 1210-0149 - OMB Control Number History ICR Ref. No. Request Type, Date Received By OIRA, Conclusion Date, Conclusion Action. 201307-1210-003, Extension without change of a currently approved ... 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