The Navigator Resource Guide has not been updated for 2025 Open Enrollment. For more current information please visit:
cms.gov/marketplace/in-person-assisters/information-partners.
QUESTION

What information and documentation will I need to provide when applying for coverage on the Marketplace?

Individuals with no coverage | Eligibility for Premium Tax Credits and Cost-Sharing Reductions |
ANSWER

Sometimes, the Marketplace is able to verify your identity using their internal data sources without requiring you to submit documentation. However, it is always best to have identification handy in case the Marketplace needs to verify your identity or immigration status. You may also need to submit proof of your residency in a state or geographic region. This can be done by providing a lease or mortgage document, utility bill, or government issued identification with your current address. You may also need to provide proof of your income if the Marketplace is unable to verify your income through IRS or Social Security data sources. This can be in the form of pay stubs, a letter from your employer, or a tax return. If the Marketplace determines you or a family member are eligible for Medicaid or CHIP, then you may also need to provide this information to the state Medicaid or CHIP agency as proof of eligibility. (CMS, When the Marketplace needs more information.)

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Individuals with no coverage
Individuals with coverage
Coverage for small employers
Post enrollment issues