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See if my children MAY qualify
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How many children need coverage (under age 19):
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How many adults in the children's household (parents / guardians):
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Gross Monthly Income of the above individuals:
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(Include work income, rental income, social security, child support, spousal support, unemployment, worker's comp, etc., but do NOT include SSI Supplemental Security Income)
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I understand that this is not a full determination of eligibility.