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

VERIFY NON MEDICAID/CHIP COVERAGE

Letter from medicaid
Letter from CHIP

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

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):