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Who's Applying?

Fill in some basic information for each family member who needs insurance. Use this tool for new coverage.

Open Enrollment has ended. To apply for coverage today, you must qualify for a Special Enrollment Period. Applications must be submitted with documentation of a qualifying life event.

If you are pregnant and do not have health insurance, you qualify for a Special Enrollment Period (SEP). Please select "Other" as your qualifying life event (QLE) and enter your qualifying life event date as the first of the month in which you received certification of your pregnancy. You have the option for your coverage to begin (1) as of the first of the month following your application date or (2) back to the first of the month in which you received certification of your pregnancy. If you select to have your coverage begin retroactively, you will be required to pay premiums for the additional coverage, and only services received in-network will be retroactively covered. If you have any questions, you can reach our Sales team at 303-602-2090, option 2 or at elevatebroker@dhha.org.

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