Documents to complete your application

HealthSource RI compares the information you enter on your application with various external data sources. If the data is inconsistent, we ask you to submit documents to confirm the new information. If you do not send us the documents to verify this information, you could lose your coverage or your financial help. You usually have 90 days to verify your information. 

Please call us if you have any questions or concerns about your ability to give us the documents we need to verify your information. 

The links below provide examples of documents you can submit to support your application.

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

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