NY Free Insurance Plan (Government Subsidized, none Medicaid)
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Green Card/US Citizen/Visa or others
Social Security Number
Green Card Number
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Driver License#
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File Tax Amount? Household size?
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Please email the following documents to Team@safepolicies.com (copy of passport, social security card, pay stub & driver license are needed for identity verificate) Green Card/I-551 • I-766 •I-94/ I-94A) • ORR (ORR UAC/R-1) • Passport • Visa with I-94 stamp • I-797 USCIS • I-589 USCIS Confirmation(A5)
Broker Assignment Letter(經紀人委派信)I, ____________appoint Nelson Lai as my broker for NY State Of Health medical & dental insurance.我 _______________委託Nelson Lai 擔當我紐約州健康醫療和牙科保險的經紀人。
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Available Date and Time
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