When you move to a new home and lose your health coverage, you have to provide proof that you moved AND proof that you had health coverage in your previous location.
For an official complete list of documents, please click here.
Documents you can submit as proof of moving
Documents must show that you (or your dependent) moved. These documents must include your name and the date of the move. Documents you can submit:
-
Bills or financial statements from previous + current address that show a change of address or newly started services at your new address, including:
- Mail from a financial institution or a bank statement.
- An internet, cable, phone, or other public utility (like gas or water) bill or service communication. This should show the date that your new utilities or services started.
- U.S. Postal Service change of address confirmation letter that includes the mail forwarding date and the address the mail will be forwarded to.
-
Mortgage or rental document for your new address, including:
- A mortgage deed that says the owner uses the property as a primary residence.
- A rental or lease agreement that shows a start date at your new address.
-
A letter from a government organization, on official letterhead or stationery, that shows a change of address to your new address, including:
- A Social Security statement.
- A notice from SNAP (food stamps) or TANF (cash assistance) agency.
- Mail from the Department of Motor Vehicles (DMV).
- Mail from the Internal Revenue Service (IRS).
- Mail from the Low Income Home Energy Assistance Program (LIHEAP).
- A voter registration card.
- A letter from an insurance company, like a homeowner’s or renter’s policy statement, that includes your policy start date at your new address. This should be on official letterhead or stationery.
- If you're homeless or in transitional housing: You can submit a reference letter from a person in your state who can confirm you live in the area permanently. This could be a friend, family member, or caseworker. This person must also confirm their own residency by including one of the documents listed above.
Documents you can submit as proof of coverage
If you moved within the U.S., you must also submit a document that includes your name and shows that you had qualifying health coverage for at least 1 day in the past 60 days before your move.
Documents you can submit:
- An insurance document, like a letter from an insurance company showing you or your dependent’s health coverage, including COBRA. This should be on official letterhead or stationery.
- A document from an employer, like a letter about you or your dependent’s health coverage, including COBRA. This should be on official letterhead or stationery.
- A document from a health care program, like a letter from a government health program, like Medicaid, CHIP, TRICARE, Veterans Affairs (VA), or Peace Corps. This should be on official letterhead or stationery.
If you moved from a U.S. territory, you must submit a document that confirms this information. Documents you can submit:
- A license, government-issued ID card, voter registration card, or other form of official identification that shows that you previously lived in a U.S. territory.
- A document at your previous address dated within 12 months before your move and a document showing your new address (dated within 60 days after your move), or a document confirming your move (listed above).
If you moved from a foreign country, you must submit a document that confirms this information. Documents you can submit:
- An Arrival/Departure Record (I-94/I-94A) (in a foreign passport or separately) that shows your date of entry into the U.S.
- A passport with an admission stamp showing your date of entry into the U.S.
Can I upload more than 1 document?
You can upload more than one document if you have multiple documents that confirm your move. Select the green "Upload Documents" button on the upload screen to submit each document.
What if I’m homeless or in transitional housing?
You can submit a reference letter from a person in your state who can confirm that you live in the area permanently. This could be a friend, family member, or caseworker. This person must also confirm their own residency by including one of the documents listed above. To submit this letter, select "Other" from the drop-down menu.
What if I don’t have any of these documents?
You can submit one document showing your new address (dated within 60 days prior to your move) and one document at your previous address dated within 12 months after your move. To submit these documents, select "Other" from the drop-down menu.
Or, you can submit a letter with the date of your move, your old and new addresses, and the reason you can’t submit documents. Use this form and fill out the “Move” section. When you complete the form, select “Letter of explanation” from the drop-down menu when you’re on the upload documents screen in the application.
If you are in Georgia:
If you live in the state of Georgia, follow this link for help explaining a move if you don't have documents: Georgia Access
If your eligibility notice also indicates submitting documents to confirm a recent move, in addition to confirming that you had health coverage for at least 1 day in the past 60 days, be sure to send both documents!
Your documents must show that you lost qualifying health coverage in the past 60 days or will lose coverage in the next 60 days. These documents must include:
- Your name
- The date of coverage loss
Comments
0 comments
Article is closed for comments.