972-898-9362

Starks Solutions Insurance
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Upload Documents

Has the marketplace requested documents in regards to your health insurance? Here you can find a list of acceptable documents and text a clear picture to (972) 898-9362 or email it to info@ffmic.com

ACCEPTABLE INCOME VERIFICATION DOCUMENTS

  • 1040 Tax Return
  • W2 and/or 1099
  • Pay stub documentation
  • Self Employment documentation
  • Social Security Statements
  • Unemployment Benefits Letter

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VERIFY NON MEDICAID/CHIP COVERAGE 

  • Letter from medicaid
  • Letter from CHIP

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VERIFY SOCIAL SECURITY NUMBER

  • Social Security Card
  • Tax form(s)
  • Benefit or Income Statement


VERIFY NON INCARCERATED 

  • Official Release Papers
  • Document showing employment
  • Proof of Resident
  • Signed/Notarized Affidavit

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ACCEPTABLE DOCUMENTS TO VERIFY CITIZENSHIP AND IDENTITY 

  • U.S. passport
  • Certificate of Naturalization (N-550/N-570)
  • Certificate of Citizenship (N-560/N-561)
  • State-issued enhanced driver's license (available in Michigan, New York, Vermont, and Washington)
  • Document from federally recognized Indian tribe that includes your name and the name of the federally recognized Indian tribe that issued the document, and shows your membership, enrollment, or affiliation with the tribe. Documents you can provide include:

       A tribal enrollment card

       A Certificate of Degree of Indian Blood

       A tribal census document

       Documents on tribal letterhead signed by a tribal official

If you don’t have any of the documents above, you can submit 2 documents — one from each list below.

You can submit one of these documents:

  • U.S. public birth certificate
  • Consular Report of Birth Abroad (FS-240, CRBA)
  • Certification of Report of Birth (DS-1350)
  • Certification of Birth Abroad (FS-545)
  • U.S. Citizen Identification Card (I-197 or the prior version I-179)
  • Northern Mariana Card (I-873)
  • Final adoption decree showing the person’s name and U.S. place of birth
  • U.S. Civil Service Employment Record showing employment before June 1, 1976
  • Military record showing a U.S. place of birth
  • U.S. medical record from a clinic, hospital, physician, midwife, or institution showing a U.S. place of birth
  • U.S. life, health, or other insurance record showing U.S. place of birth
  • Religious record showing U.S. place of birth recorded in the U.S.
  • School record showing the child’s name and U.S. place of birth
  • Federal or state census record showing U.S. citizenship or U.S. place of birth
  • Documentation of a foreign-born adopted child who received automatic U.S. citizenship (IR3 or IH3)

AND one of these documents (that has a photograph or other information, like your name, age, race, height, weight, eye color, or address):

  • Driver's license issued by a state or territory or ID card issued by the federal, state, or local government
  • School identification card
  • U.S. military card or draft record or military dependent’s identification card
  • U.S. Coast Guard Merchant Mariner card
  • Voter Registration Card
  • A clinic, doctor, hospital, or school record, including preschool or day care records (for children under 19 years old)
  • 2 documents containing consistent information that proves your identity, like employer IDs, high school and college diplomas, marriage certificates, divorce decrees, property deeds, or titles

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