Affordable Health Care Application Assistance
ACI has been designated through the Department of Medicare and Medicaid Services as a Certified Application Counselor (CAC) organization. CACs are charged with helping individuals with disabilities fill out applications under the Affordable Care Act (ObamaCare).
If you need assistance, please contact Salma Harris at 732-738-4388 ext. 120 or firstname.lastname@example.org. By appointment only.
What do I need?
Use the list below to help you gather what you need to apply for coverage. Open enrollment ends January 31, 2016.
- Social Security Numbers (or document numbers for legal immigrants).
- Employer and income information for every member of your household who needs coverage (for example, from pay stubs or W-2 forms - Wage and Tax Statements).
- Policy numbers for any current health insurance plans covering members of your household.
- A completed Employer Coverage Tool for every job-based plan you or someone in your household is eligible for.
Stay up-to-date about the Marketplace!
Visit HealthCare.gov/subscribe to get email or text updates that will help you get ready to apply.