Get Dhs-3418-eng (minnesota Health Care Programs Renewal)

Completing the DHS-3418-ENG form is essential for renewing your Minnesota health care coverage. This guide provides clear and supportive instructions to help you fill out the form accurately and efficiently online.

Follow the steps to fill out the DHS-3418-ENG form online.

1. Press the ‘Get Form’ button to access the DHS-3418-ENG document and open it in your preferred editor.
2. Begin by entering your personal information such as your name, date of birth, and contact details in the designated fields on the form.
3. Provide information about your living situation by selecting the appropriate option from the choices provided.
4. If applicable, indicate whether you or a family member qualifies as an American Indian or Alaska Native to request exceptions for certain income and assets.
5. List others living with you, including their names, relationships, and dates of birth.
6. For any newly requesting coverage, complete the information about those individuals, including their social security numbers if available.
7. Detail current employment for all working members by providing their employers’ names, job details, and income information.
8. Enter any other income sources such as social security or unemployment benefits, along with the amounts received.
9. If applicable, fill out questions 10-23 regarding assets, noting that these sections are optional and skipping them will not affect your eligibility.
10. Review your information thoroughly, sign and date the renewal form on the designated page.
11. Complete and sign the attached Authorization to Obtain Financial Information from the Account Validation Service.
12. After completing the form, save your changes, and choose an option to download or print the document for submission.

Submit your DHS-3418-ENG renewal form online today to ensure continued health care coverage.