Index of /www.cms.gov/marketplace/applications-and-forms

[ICO]NameLast modifiedSizeDescription
[PARENTDIR]Parent Directory  -  
[ ]1095a-cover-page-corrected-form-spanish.pdf2025-04-09 16:35 635K 
[ ]1095a-cover-page-corrected-form.pdf2025-04-09 16:47 553K 
[ ]1095a-cover-page-spanish.pdf2025-04-09 16:28 611K 
[ ]1095a-cover-page-voided-form-spanish.pdf2025-04-09 16:55 603K 
[ ]1095a-cover-page-voided-form.pdf2025-04-09 16:53 590K 
[ ]1095a-cover-page.pdf2025-04-09 16:26 579K 
[ ]2015-spanish-form-1095-a-and-instructions.pdf2023-08-14 15:17 442K 
[ ]affordability-ffm-exemption-spanish.pdf2025-04-17 15:07 1.1M 
[ ]affordability-ffm-exemption.pdf2025-04-17 15:07 1.0M 
[ ]affordability-sbm-exemption-spanish.pdf2025-04-17 15:08 944K 
[ ]affordability-sbm-exemption.pdf2025-04-17 15:08 930K 
[ ]automatic-enrollment-confirmation-messages-spanish.zip2025-03-18 15:48 2.4M 
[ ]automatic-enrollment-confirmation-messages.zip2025-03-18 15:48 2.6M 
[ ]death-pdm-faqs.pdf2023-08-14 15:16 41K 
[ ]employer-coverage-tool-spanish.pdf2023-10-18 14:53 148K 
[ ]employer-coverage-tool.pdf2023-10-18 14:53 153K 
[ ]estate-final-notice-spanish.pdf2025-04-09 17:06 575K 
[ ]estate-final-notice.pdf2025-04-09 17:05 564K 
[ ]estate-initial-notice-english.pdf2025-04-09 16:59 553K 
[ ]estate-initial-notice-spanish.pdf2025-04-09 16:59 544K 
[ ]estate-response-notice-spanish.pdf2025-04-09 17:04 535K 
[ ]estate-response-notice.pdf2025-04-09 17:01 542K 
[ ]exemption-application-hardship-spanish.pdf2025-04-17 15:06 945K 
[ ]extra-person-pages-spanish.pdf2024-10-25 04:13 253K 
[ ]extra-person-pages.pdf2024-10-25 04:13 249K 
[ ]family-form-instructions-large-print-spanish.pdf2024-10-25 04:45 253K 
[ ]family-form-instructions-large-print.pdf2024-10-25 04:46 249K 
[ ]ftr-open-enrollment-warning-notice-spanish.pdf2025-03-28 15:57 582K 
[ ]ftr-open-enrollment-warning-notice.pdf2025-03-28 15:57 565K 
[ ]hardship-exemption.pdf2025-04-17 15:01 924K 
[ ]individual-short-form-instructions-spanish.pdf2024-10-25 04:09 128K 
[ ]individual-short-form-instructions.pdf2024-10-25 04:08 125K 
[ ]individual-short-form-spanish.pdf2024-10-25 04:09 377K 
[ ]individual-short-form.pdf2024-10-25 04:10 356K 
[ ]marketplace-application-for-family-instructions.pdf2024-10-25 03:54 154K 
[ ]marketplace-application-for-family-large-print-spanish.pdf2024-10-25 03:56 349K 
[ ]marketplace-application-for-family-large-print.pdf2024-10-25 03:56 365K 
[ ]marketplace-application-for-family.pdf2024-10-25 03:53 1.3M 
[ ]marketplace-application-without-financial-assistance-instructions-spanish.pdf2024-10-25 04:11 143K 
[ ]marketplace-application-without-financial-assistance-instructions.pdf2024-10-25 04:11 126K 
[ ]marketplace-application-without-financial-assistance-spanish.pdf2024-10-25 04:12 364K 
[ ]marketplace-application-without-financial-assistance.pdf2024-10-25 04:12 355K 
[ ]marketplace-consumer-application-arabic.pdf2024-10-25 04:37 2.4M 
[ ]marketplace-consumer-application-bengali.pdf2024-10-25 04:38 2.0M 
[ ]marketplace-consumer-application-family-albanian.pdf2024-10-25 04:30 1.6M 
[ ]marketplace-consumer-application-family-amharic.pdf2024-10-25 04:29 1.7M 
[ ]marketplace-consumer-application-family-bosnian.pdf2024-10-25 04:29 2.0M 
[ ]marketplace-consumer-application-family-burmese.pdf2024-10-25 04:29 1.8M 
[ ]marketplace-consumer-application-family-chin.pdf2024-10-25 04:28 1.8M 
[ ]marketplace-consumer-application-family-chinese.pdf2024-10-25 04:28 2.1M 
[ ]marketplace-consumer-application-family-farsi.pdf2024-10-25 04:27 2.0M 
[ ]marketplace-consumer-application-family-german.pdf2024-10-25 04:27 1.5M 
[ ]marketplace-consumer-application-family-gujarati.pdf2024-10-25 04:26 1.8M 
[ ]marketplace-consumer-application-family-haitian.pdf2024-10-25 04:26 2.1M 
[ ]marketplace-consumer-application-family-instructions-spanish.pdf2024-10-25 04:01 158K 
[ ]marketplace-consumer-application-family-italian.pdf2024-10-25 04:25 2.0M 
[ ]marketplace-consumer-application-family-japanese.pdf2024-10-25 04:25 1.8M 
[ ]marketplace-consumer-application-family-kayah.pdf2024-10-25 04:24 4.5M 
[ ]marketplace-consumer-application-family-khmer.pdf2024-10-25 04:24 1.8M 
[ ]marketplace-consumer-application-family-kinyarwanda.pdf2024-10-25 04:24 1.5M 
[ ]marketplace-consumer-application-family-korean.pdf2024-10-25 04:23 1.7M 
[ ]marketplace-consumer-application-family-polish.pdf2024-10-25 04:23 1.6M 
[ ]marketplace-consumer-application-family-portugese.pdf2024-10-25 04:22 1.6M 
[ ]marketplace-consumer-application-family-punjabi.pdf2024-10-25 04:21 2.2M 
[ ]marketplace-consumer-application-family-romanian.pdf2024-10-25 04:21 1.9M 
[ ]marketplace-consumer-application-family-russian.pdf2024-10-25 04:20 1.6M 
[ ]marketplace-consumer-application-family-somali.pdf2024-10-25 04:20 2.0M 
[ ]marketplace-consumer-application-family-spanish.pdf2024-10-25 03:59 1.3M 
[ ]marketplace-consumer-application-family-swahili.pdf2024-10-25 04:19 1.5M 
[ ]marketplace-consumer-application-family-tagalog.pdf2024-10-25 04:19 1.6M 
[ ]marketplace-consumer-application-family-thai.pdf2024-10-25 04:19 3.1M 
[ ]marketplace-consumer-application-family-tibetan.pdf2024-10-25 04:18 1.7M 
[ ]marketplace-consumer-application-family-urdu.pdf2024-10-25 04:18 2.0M 
[ ]marketplace-consumer-application-family-vietnamese.pdf2024-10-25 04:17 1.8M 
[ ]marketplace-consumer-application-french.pdf2024-10-25 04:38 1.5M 
[ ]marketplace-consumer-application-hindi.pdf2024-10-25 04:39 1.8M 
[ ]marketplace-consumer-application-karen.pdf2024-10-25 04:51 2.9M 
[ ]marketplace-consumer-application-nepali.pdf2024-10-25 04:40 2.2M 
[ ]marketplace-consumer-application-tigrinya.pdf2024-10-25 04:41 1.6M 
[ ]marketplace-consumer-application-ukrainian.pdf2024-10-25 04:40 1.6M 
[ ]medicaid-chip-initial-warning-spanish.pdf2023-08-14 15:17 169K 
[ ]medicaid-chip-initial-warning.pdf2023-08-14 15:17 139K 
[ ]medicare-pdm-notices-spanish.zip2025-03-21 15:48 3.1M 
[ ]medicare-pdm.zip2025-03-21 15:48 3.8M 
[ ]notice-for-consumers-turning-65-spanish.pdf2025-03-28 18:08 530K 
[ ]notice-for-consumers-turning-65.pdf2025-03-28 18:07 629K 
[DIR]notices/2025-04-17 19:18 -  
[ ]open-enrollment-sample-notices-spanish.zip2025-03-18 15:42 2.6M 
[ ]open-enrollment-sample-notices.zip2025-03-18 15:41 2.6M 
[ ]pdm-ending-financial-help-spanish.pdf2023-08-14 15:17 169K 
[ ]pdm-ending-financial-help.pdf2023-08-14 15:17 793K 
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