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Income Verification Documentation Needed for Marketplace Insurance Coverage

You would need to upload these documents because the federal government has requested additional documentation to verify your annual household income to complete your application for Marketplace insurance coverage. This is a common request, and as long as the required documents are submitted by the specified deadline, your health insurance coverage should not be impacted.

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Once your documents are uploaded, our team will submit the documentation to the Marketplace for you.

We appreciate your prompt attention to this matter. Delays in submitting the requested documentation could result in interruptions or termination of your insurance coverage.

Acceptable Documents for Annual Household Income Verification:

  • Federal or State Tax Return (Form 1040): Must include your full name, income amount, and tax year.

  • Wages and Tax Statement (W-2 and/or 1099 Forms): Includes 1099-MISC, 1099-G, 1099-R, 1099-SSA, 1099-DIV, 1099-SS, 1099-INT. Must include your full name, income amount, tax year, and employer name (if applicable).

  • Pay Stubs: Must include your full name, income amount, pay period or payment frequency, and payment date. If applicable, please indicate average overtime earnings per pay period.

  • Self-Employment Income Documentation: (e.g., Schedule C, most recent quarterly or year-to-date profit and loss statement, or a self-employment ledger). Documents must include your full name, business name, income amount, covered dates, and net income from profit/loss. Also, see additional acceptable document options below.

  • Social Security Administration Benefit Letter: Must include your full name, benefit amount, and payment frequency.

  • Unemployment Benefits Letter: Must include your full name, issuing agency, benefit amount, and duration (start and end date, if applicable).

Additional Documents to Confirm Self-Employment Income:

  • 1040-SE with Schedule C, F, or SE

  • 1065 Schedule K1 with Schedule E

  • Complete Tax Return

  • Bookkeeping Records

  • Receipts for Allowable Expenses

  • Signed Timesheets and Payroll Receipts (if applicable)

  • Most Recent Quarterly or Year-to-Date Profit and Loss Statement

Documents to Confirm Unearned Income:

  • Annuity Statements

  • Pension Distribution Statements (government or private)

  • Workers’ Compensation Letters

  • Prizes, Settlements, or Court-Ordered Award Letters

  • Proof of Gifts or Contributions

  • Inheritance Documentation (cash or property)

  • Strike Pay or Union Benefits

  • Sales Receipts or Proof of Income from Sales/Exchanges

  • Interest and Dividend Statements

  • Loan Statements Showing Proceeds

  • Royalty Income Statements or 1099-MISC

  • Bonus or Incentive Payment Documentation

  • Severance Pay Documentation

  • Pay Stub Indicating Sick, Vacation, Substitute/Assistant Pay

  • Deferred Compensation Payment Documentation

  • Proof of Residual Payments

  • Travel or Business Reimbursement Documentation

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