Kaiser Permanente: Free Health Insurance: Sign-Up at GNFA – 1/11/2015

CHAP Flyer English

For Maryland and Virginia Residents

Income-Based Eligibility (for those without access to any other public or private health coverage)

Please bring with you one of the following proofs of household income documentation to see if you qualify:

• Last 3 pay stubs, W-2 forms or wage and/or tax statements

• If paid in cash, include a signed letter of income from your employer or a self-attestation of your income.


CHAP Flyer English
Free Health Insurance Sign up


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