Verify Your Identity

* Required Fields

The information you provide here will be checked for accuracy against a database maintained by Experian, a company that also performs credit checks. Please note that your credit will not be checked as part of this secure process. Your information will not be used for any other purpose.

Verify Your Identity

Info

If you have a Social Security Number, you have to enter it. If you do not have a Social Security Number, please leave it blank.

Why do we need this information for the primary applicant?

The primary applicant is the person filling out the application.

You may be filling out the application because you are applying for coverage, or you may be filling it out for members of your household (members of your household are people who are on your tax return).

To secure the privacy of your account information, we need to verify the identity of the primary applicant. In order to do this we need you to provide your name, birthdate and if you have one, your social security number.

If you are applying for benefits for yourself and you have a social security number, you are required to provide it to receive health coverage or a tax credit to help pay for insurance.

If you are applying for benefits for your dependents only, you are not required to supply your social security number. However, if you do not supply your social security number, your application may take longer to process and delay your family enrollment in health coverage.

Please be sure to enter your social security number and birthdate accurately, because it will be difficult to edit, if you make a mistake.

Please Note:

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