State of Maryland Health Insurance Exchange Person ID
Transcription
State of Maryland Health Insurance Exchange Person ID
Les résumés et les traductions contenus dans le présent avis ont été préparés par Primary Care Coalition mais n'ont pas été révisés ou approuvés par Maryland Health Connection. State of Maryland Health Insurance Exchange Notice Date: 06/16/2015 Type Plan 123 Main Street Edgewater, MD 21037 Person ID: 1111557318 Doc ID: 61016 Application Date: 06/16/2015 La présente lettre vous informe que vous avez entamé la procédure de souscription à une assurance maladie, mais ne l'avez pas achevée. Elle vous rappelle d'achever le processus et de soumettre votre demande en vous connectant sur votre compte à l'adresse www.MarylandHealthConnection.gov Application ID: 32198 Subject – Enrollment Application in Progress Dear Type Plan, Our records show that you recently started an enrollment application for a health insurance coverage on Maryland Health Connection for yourself or a member of your household. We would like to remind you that you must complete and submit your application for enrollment before 08/15/2015 in order to enroll during your available enrollment period. Please return to Maryland Health Connection's website before this date to complete and submit your application. If you do not complete and submit your application for enrollment before 08/15/2015, you may not be able to enroll in a health insurance plan until the next annual open enrollment period. Your saved application can be accessed through the Account Home section of the Maryland Health Connection website at www.marylandhealthconnection.gov. You can also apply in other ways by contacting Maryland Health Connection in one of the ways set out below. How to Contact Maryland Health Connection Contact Maryland Health Connection if you need to report changes, select a program or have any questions about this notice. Let us know if you need help applying for health coverage or accessing your account. You can contact Maryland Health Connection: • Online at www.marylandhealthconnection.gov • By calling 1-855-642-8572 and TTY: 1-855-642-8573 • In person at your local Health Department, local Department of Social Services or regional Connector Entity If you have a disability, you may request and receive a reasonable accommodation or special help from Maryland Health Connection when it is necessary to allow you to apply for and receive services through Maryland Health Connection. Sincerely, Maryland Health Connection 1402 Page 1 of 2 State of Maryland Health Insurance Exchange Person ID: 1111557318 Doc ID: 61016 Language services are available to assist you. If you need assistance, call 1-855-642-8572 (TTY: 1-855-642-8573). Servicios de idiomas están disponibles para ayudarle. Si necesita ayuda, llame al 1-855-642-8572 (TTY: 1-855-642-8573) 1402 Page 2 of 2