ACA-0969

Case fields

Case ID

case_id

ACA-0969

State of residence

state_of_residence

WA

Applicant age (years)

applicant_age_years

30

People in household

number_of_people_in_household

4

Tax dependents

number_of_tax_dependents

3

Tax filing status

tax_filing_status

married filing separately

Expected annual household income (USD)

expected_annual_household_income_usd

$92,065

Income sources

income_sources

self employment

Current health coverage

current_health_coverage

CHIP

Employer coverage available

employer_coverage_available

no

Employer coverage affordable

employer_coverage_affordable

not applicable

Citizenship / eligible immigration status

citizenship_or_eligible_immigration_status

eligible immigration status

Qualifying life event

qualifying_life_event

move

Required information verified

required_information_verified

no