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Documents needed to confirm your eligibility for a Qualified Health Plan (QHP)

The links below highlight the documents needed to support your application and confirm eligibility:

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Qualifying
Proof

Proof of Lawful Presence/Immigration Status

To verify your lawful presence or immigration status, send us any of the following documents:

Lawful Presence

Sample 2017 Green Card can be viewed here.

Sample 2010 Green Card can be viewed here.
Temporary I-551 Stamp (on passport or I-94, I-94A).
Sample Immigrant Visa with temporary I-551 stamp can be viewed here.
Sample 2017 Employment Authorization Card (EAD) can be viewed here.

Sample 2011 Employment Authorization Card (EAD) can be viewed here.

Deferred Action for Childhood Arrivals (DACA) is not an eligible immigration status for applying for healthcare coverage through the Exchange.
Arrival/Departure Record (I-94 or I-94A).
Arrival/Departure Record in foreign passport (I-94).

Lawful Presence 2

Unexpired foreign passport.
Country of issuance Reentry Permit (I-327).
Refugee travel document (I-571).
Certificate of Eligibility for Nonimmigrant (F-1) Student Status (I-20).
Certificate of Eligibility for Exchange Visitor (J-1) Status (DS2019).
Notice of Action (I-797).

In general, all of these documents will follow the same rules for document acceptability used for verification of the household’s lawful presence. This means a submitted document must have the following to be accepted:

• Your full name (first name, last name, and middle name or middle initial if available).
• An expiration date that has not passed.
• An alien number that is the same on the application as it is on the provided immigration document.

How to Submit Documents

How to Submit Desktop Button
How to Submit Mobile Button

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Sample 2017 Green Card

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    Sample 2010 Green Card

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      Sample Immigrant Visa with Temporary I-551 Stamp

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        Sample 2017 Employment Authorization Card (EAD)

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          Sample 2011 Employment Authorization Card (EAD)

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            Sample Employer Statement SP

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              Sample Attestation of Non Income Form SP

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                Sample Affidavit of Identity Form Individual SP

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                  Sample Affidavit of Identity Form Child SP

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                    Sample W-2 SP

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                      Sample 2017 Schedule E SP

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                        Sample 2017 Schedule C SP

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                          Sample 1040 SP

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