Your Marketplace application will ask you for some basic information, including your name and date of birth.

Where you live can affect what health coverage you’re eligible for.

You’ll enter your home address to show if you’re a resident of the state where you’re seeking coverage. You’ll select your state at the beginning of the application.

Your Marketplace application will ask you to enter some basic information about everyone applying for coverage, including their relationship to you.

Your Marketplace application will ask you to enter each person’s 9-digit SSN, even those not applying for coverage. The Marketplace will verify the SSNs with Social Security, based on the consent you’ll give at the start of your application. If you don’t enter an SSN, you may need to provide more information at a later time.

If a professional is helping you complete your application, you’ll need to enter their information. These professionals include: navigators, certified application counselors, in-person assistance personnel, agents, and brokers.

If you file federal income taxes and are married, the Marketplace needs to know if you file separately or jointly. You’ll also be asked about who you claim as a tax dependent.

Your Marketplace application may ask you about the income, expenses, and deductions of everyone in your household, even those not applying for coverage.

The Marketplace accounts for income sources, including:

Your Marketplace application may ask you to estimate what your household’s income will be in the year you’ll be covered.

Your Marketplace application will ask if anyone in your household is currently enrolled in health coverage, including Medicaid, the Children’s Health Insurance Program (CHIP), Medicare, TRICARE, VA health care program, Peace Corps, or coverage through individual insurance (including Marketplace coverage) or an employer.

Your Marketplace application will ask you to enter information about offers of health coverage you may have through your job or through a family member’s job. It will also ask you to enter employer contact information for each person in your household who has a job.