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Access to Coverage

You can submit one of the documents below to prove that you do NOT have access to minimum essential coverage (MEC):

  • Letter from health insurer including coverage termination date
  • Statement of health benefits that provides confirmation of health coverage and expiration dates
  • Letter from Veterans Administration that provides clarification of scope of access to coverage, confirmation of health coverage with and expiration dates
  • Letter from Peace Corps or AmeriCorps that provides clarification of scope of access to coverage, confirmation of health coverage and expiration date or that provides clarification of scope of access to coverage
  • Letter or statement of Medicare or Medicaid benefits that proves clarification of scope of access to coverage, confirmation of health coverage and expiration dates
  • Letter or statement of Medicaid or Children’s Health Insurance Program (CHIP) benefits that provides clarification of scope of access to coverage, proves confirmation of health coverage and expiration dates

If you are unable to obtain any of the above documents, you may fill out this form to attest that you have no access to other health coverage.

HealthSource RI connects you with health and dental insurance from these companies:

Individuals & Families: 1-855-840-4774
Employers & Employees: 1-855-683-6757