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Health Insurance for 2 people

3 or More People Taxable Household

Complete the form to be signed up for FREE health insurance.

We’ll sign you up for the best FREE Major Medical health insurance plan in your area. We work with BCBS, Ambetter, Molina, Brighthealth, Cigna, United Healthcare and many others. We try to choose plans with the lowest copays and the best coverage available, while keeping your premium at ZERO!

You are 1 step away from getting a Zero Cost health insurance with a major carrier

First Name

Last Name

Date Of Birth

Address (to mail your ID cards)

Gender

MaleFemale

Email To Receive Enrollment Confirmation

Phone Number - to receive text confirmation of application completion or reminders if anything is needed on your account.

Most recent job description

MONTHLY income projected

Plan Choice

Just Give Me The Best Plan AvailableKeep My Current Plan, Just Upgrade me

Social Security Number (We need this to verify who you are - this must be valid to get Major Medical Coverage)

2nd Person needing insurance

First and Last Name

Gender

MaleFemale

2nd Person Date Of Birth

2nd Person Social Security Number

Relationship To 1st Person

3rd Person needing insurance

First and Last Name

Gender

MaleFemale

3rd Person Date Of Birth

3rd Person Social Security Number

Relationship To 1st Person

4th Person needing insurance

First and Last Name

Gender

MaleFemale

4th Person Date Of Birth

4th Person Social Security Number

Relationship To 1st Person

5th Person needing insurance

First and Last Name

Gender

MaleFemale

5th Person Date Of Birth

5th Person Social Security Number

Relationship To 1st Person

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This is a privately-owned non-government website. The government website can be found at HealthCare.gov. This website serves as electronic consent for you, the customer, to request submission of a health application to the applicable federal or state marketplace. We are not affiliated with or endorsed by any government website entity or publication.

Affordable Care Act (ACA)

The comprehensive health reform law that is sometimes referred to as "Obamacare". Under the ACA, individual medical plans are required to cover ten “Essential Health Benefits” to be recognized as a "Qualified Health Plan" and provide “minimum essential coverage” to enrollees(“MEC”). Residents of certain states may not be able to enroll in ACA-compliant health insurance through healthinsurancefree.online. To see all available data on QHP options in your state, go to the Health Insurance Marketplace website at www.HealthCare.gov. Premium tax credits are not guaranteed and are subject to eligibility requirements determined in the Marketplace.

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Health Insurance for 2 people

3 or More People Taxable Household

Complete the form to be signed up for FREE health insurance.

​

We’ll sign you up for the best FREE Major Medical health insurance plan in your area. We work with BCBS, Ambetter, Molina, Brighthealth, Cigna, United Healthcare and many others. We try to choose plans with the lowest copays and the best coverage available, while keeping your premium at ZERO!

You are 1 step away from getting a Zero Cost health insurance with a major carrier

2nd Person needing insurance

3rd Person needing insurance

4th Person needing insurance

5th Person needing insurance