• The Affordable Health For Texas Insurance Company, respects your privacy, and we want you to understand how we may collect personal information about you through our online Application and how that information may be used, maintained and, in some cases, shared with Marketplace Organization, a federal government health insurance provider through www.healthcare.gov.

    This privacy policy (“Privacy Policy”) sets forth the privacy practices and policies governing our online Applications and Company's email addresses: "admin@healthfortexas.com".

    “Personal information”, is any information that enables Marketplace to identify you, directly or indirectly, by reference to an identifier such as your name, identification number, location data, online identifier or one or more factors specific to you. Personal information includes “personal information such as: Social Security Number, Current Immigratio Status,DOB, Annual Household Incomes and Tax Returns”, and “pseudonymised personal information” but excludes anonymous information or information that has had the identity of an individual permanently removed.

    BY USING OR ACCESSING OUR ONLINE APPLICATION OR BY PROVIDING PERSONAL INFORMATION TO US ON OR THROUGH THESE APPLICATIONS AND EMAILS, YOU CONSENT TO THE COLLECTION, USE, TRANSFER AND DISCLOSURE OF THAT INFORMATION IN ACCORDANCE WITH THIS PRIVACY POLICY AND APPLICABLE LAW.

  • Online Application

    Main
  • US CITIZEN

    Enter your certificate info
  • US citizen
  • Green Card

    Enter your card info
  • Green Card
  • Employment authorization

    Enter your employment authorization info
  • Machine Readable (temprory I-551 language)

  • Arrival/Departure (I-94, I-94A)

  • Nonimmigrant (F-1,F-2) Student Status (I-20)

  • Refugee Travel Document (I-571)

  • Notice of Action (I-797)

  • Exchange visitor (J-1,J-2)

  • Browse Files
    Cancel of
  • Current Job & Income Information

  • Employer / First current Job

  • Employer / Second current Job

  • Self-Employment

  • Other Income

  • The following questions are regarding your total household income and expenses. Please upload the following accepted documents to proof the family’s annual income:

    1. Proof of last year Tax Return

    2. The last 2 pay stubs from your job

    3. W-2 or 1099 from your Employer

    4. Letter from the Employer stating your duties and annual income

    5. A signed letter written by the applicant or spouse in regards to the type of work and their total annual income

  • Browse Files
    Cancel of
  • Expenses

  • Insurance Status:

  • Marital Status:

  • Spouse

    Enter your spouse informations
  • US citizen

    Enter your certificate info
  • US citizen
  • Green Card

    Enter your card info
  • Green Card
  • Employment authorization

    Enter your employment authorization info
  • Machine Readable (temprory I-551 language)

  • Arrival/Departure (I-94, I-94A)

  • Nonimmigrant (F-1,F-2) Student Status (I-20)

  • Refugee Travel Document (I-571)

  • Notice of Action (I-797)

  • Exchange visitor (J-1,J-2)

  • Browse Files
    Cancel of
  • Current job & income information

  • Employer / First current Job

  • Employer / Second current Job

  • Self-Employed

  • Other Income

  • The following questions are regarding your total household income and expenses. Please upload the following accepted documents to proof the family’s annual income:

    1. Proof of last year Tax Return

    2. The last 2 pay stubs from your job

    3. W-2 or 1099 from your Employer

    4. Letter from the Employer stating your duties and annual income

    5. A signed letter written by the applicant or spouse in regards to the type of work and their total annual income

  • Browse Files
    Cancel of
  • Expenses

  • First Dependent

    Enter your dependent information
  • US citizen

    Enter your certificate info
  • US citizen
  • Green Card

    Enter your card info
  • Green Card
  • Employment authorization

    Enter your employment authorization info
  • Machine Readable (temprory I-551 language)

  • Arrival/Departure (I-94, I-94A)

  • Nonimmigrant (F-1,F-2) Student Status (I-20)

  • Refugee Travel Document (I-571)

  • Notice of Action (I-797)

  • Exchange visitor (J-1,J-2)

  • Browse Files
    Cancel of
  • Current job & income information

  • Employer / First current Job

  • Employer / Second current Job

  • Self-Employed

  • Other Income

  • The following questions are regarding your total household income and expenses. Please upload the following accepted documents to proof the family’s annual income:

    1.Proof of last year Tax Return

    2.The last 2 pay stubs from your job

    3.W-2 or 1099 from your Employer

    4.Letter from the Employer stating your duties and annual income

    5.A signed letter written by the applicant or spouse in regards to the type of work and their total annual income

  • Browse Files
    Cancel of
  • Expenses

  • Second Dependent

    Enter your dependent information
  • US citizen

    Enter your certificate info
  • US citizen
  • Green Card

    Enter your card info
  • Green Card
  • Employment authorization

    Enter your employment authorization info
  • Machine Readable (temprory I-551 language)

  • Arrival/Departure (I-94, I-94A)

  • Nonimmigrant (F-1,F-2) Student Status (I-20)

  • Refugee Travel Document (I-571)

  • Notice of Action (I-797)

  • Exchange visitor (J-1,J-2)

  • Browse Files
    Cancel of
  • Current job & income information

  • Employer / First current Job

  • Employer / Second current Job

  • Self-Employed

  • Other Income

  • The following questions are regarding your total household income and expenses. Please upload the following accepted documents to proof the family’s annual income:

    1.Proof of last year Tax Return

    2.The last 2 pay stubs from your job

    3.W-2 or 1099 from your Employer

    4.Letter from the Employer stating your duties and annual income

    5.A signed letter written by the applicant or spouse in regards to the type of work and their total annual income

  • Browse Files
    Cancel of
  • Expenses

  • 3rd Dependent

    Enter your dependent information
  • US citizen

    Enter your certificate info
  • US citizen
  • Green Card

    Enter your card info
  • Green Card
  • Employment authorization

    Enter your employment authorization info
  • Machine Readable (temprory I-551 language)

  • Arrival/Departure (I-94, I-94A)

  • Nonimmigrant (F-1,F-2) Student Status (I-20)

  • Refugee Travel Document (I-571)

  • Notice of Action (I-797)

  • Exchange visitor (J-1,J-2)

  • Browse Files
    Cancel of
  • Current job & income information

  • Employer / First current Job

  • Employer / Second current Job

  • Self-Employed

  • Other Income

  • The following questions are regarding your total household income and expenses. Please upload the following accepted documents to proof the family’s annual income:

    1.Proof of last year Tax Return

    2.The last 2 pay stubs from your job

    3.W-2 or 1099 from your Employer

    4.Letter from the Employer stating your duties and annual income

    5.A signed letter written by the applicant or spouse in regards to the type of work and their total annual income

  • Browse Files
    Cancel of
  • Expenses

  • 4th Dependent

    Enter your dependent information
  • US citizen

    Enter your certificate info
  • US citizen
  • Green Card

    Enter your card info
  • Green Card
  • Employment authorization

    Enter your employment authorization info
  • Machine Readable (temprory I-551 language)

  • Arrival/Departure (I-94, I-94A)

  • Nonimmigrant (F-1,F-2) Student Status (I-20)

  • Refugee Travel Document (I-571)

  • Notice of Action (I-797)

  • Exchange visitor (J-1,J-2)

  • Browse Files
    Cancel of
  • Current job & income information

  • Employer / First current Job

  • Employer / Second current Job

  • Self-Employed

  • Other Income

  • The following questions are regarding your total household income and expenses. Please upload the following accepted documents to proof the family’s annual income:

    1.Proof of last year Tax Return

    2.The last 2 pay stubs from your job

    3.W-2 or 1099 from your Employer

    4.Letter from the Employer stating your duties and annual income

    5.A signed letter written by the applicant or spouse in regards to the type of work and their total annual income

  • Browse Files
    Cancel of
  • Expenses