On this page, we're asking about a medical insurance policy that covers one or more of the people in your home.
You’ve told us that someone has medical insurance. Next, we'd like to know the name of this person's insurance company and the type of coverage they have. If you have this information, please type it in the boxes.
Next, we're asking about the policy number for this policy. The policy number is also known as the "identification number" or "subscriber number." If you have this information, please type it in the boxes.
Next, please tell us when the coverage started or ended for each person. If you're not sure of the exact date, just make your best estimate.
When you type these dates, be sure to use this format: MM/DD/YYYY. For example, if the person's coverage started on is March 1, 2005, type 03/01/2005. Be sure to use slashes when you type the date.
Last, we're asking whether this person holds another insurance policy that covers someone in your home. For example, if a parent has two jobs and both jobs provide health insurance, you should answer yes to this question.
If you're telling us about a policy held by someone outside of your home, you should answer yes if this same person OR someone else outside of the home holds another health insurance policy that covers someone in your home. For example, if you have children who are each covered by a different parent who is living outside of the home, you should answer yes to this question.
To continue, click the NEXT button.
To go back to the prior page, click the PREVIOUS button.
To save the renewal or exit the page, click the SAVE & EXIT button. This takes you to the SAVE and EXIT screen where you have a choice of saving or continuing to work on the renewal.
To close this window and return to ConneCT, click the CANCEL & EXIT button.