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Illinois Standard Health Application for Individual Family Health Insurance Coverage For assistance in completing this application please contact your insurance agent or the insurance company directly. B Employment Information Occupation Job Title Spouse/Domestic Partner s Occupation Currently employed optional Self Yes No ILLINOIS STANDARD HEALTH APPLICATION FOR INDIVIDUAL FAMILY HEALTH INSURANCE COVERAGE PRIMARY APPLICANT NAME DATE C Persons Re.

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Illinois law does not require employers to provide health benefits for their employees or their families. However, if you are covered by an employer's health benefits, the loss of coverage can be devastating.

For more information on applying for health coverage in Illinois, or to make an appointment for in-person help on any issues related to health coverage in Illinois, call the Get Covered Illinois (GCI) Helpdesk at 1-866-311-1119 or, visit GetCoveredIllinois.gov.

Visit HealthCare.gov to apply for benefits through the ACA Health Insurance Marketplace or you'll be directed to your state's health insurance marketplace website. Marketplaces, prices, subsidies, programs, and plans vary by state. Contact the Marketplace Call Center.

Today, all Illinois residents between 19 and 64 years of age, who are U.S. citizens or who have legal status, and who have monthly income of 138% of FPL or less.

Adults must be either a parent or caretaker relative with a child under 18 years of age living in their home, or be a pregnant woman. For all plans, non-pregnant adults must live in Illinois and be U.S. citizens or legal permanent immigrants in the country for a minimum of five years.

Today, all Illinois residents between 19 and 64 years of age, who are U.S. citizens or who have legal status, and who have monthly income of 138% of FPL or less.

The average cost of an Obamacare plan ranges from $328 to $482 but varies depending on the company, type of plan, and where you live....Average Marketplace Premiums in 2021 By Metal Tier. StateIllinoisAverage Lowest Cost Bronze Plan$337Average Lowest Cost Silver Plan$415Average Benchmark Plan$42351 more columns • Dec 12, 2022

Which IL Families Can Apply for Affordable Care? If you're an Illinois family making under $94,200, you should be able to receive benefits. To be certain on whether or not your family will be able to receive benefits under the Affordable Care Act, you must first use the poverty requirement guidelines.

To get more information on applying for Medicaid, please contact the Health Benefits Hotline at 1-800-843-6154. TTY users can call 855-889-4326. To learn more about Illinois Medicaid, please visit the Department of Healthcare and Family Services....Illinois Medicaid? Household Size*Maximum Income Level (Per Year)8$69,7737 more rows

To be eligible for Illinois Medicaid, you must be a resident of the state of Illinois, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232