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Application for Exemption from the Shared Responsibility Payment
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Exemption: General Hardship (PDF)
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Download health coverage exemption forms | HealthCare.gov
Exemption Certificate Number (ECN)
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Personal | FTB.ca.gov
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Affordability exemption - Glossary | HealthCare.gov
*Application for Exemption from the Shared Responsibility Payment *
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After you apply for a health coverage exemption by mail
Marketplace Hardship Exemptions | H&R Block
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Exemptions | Covered California™
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NJ Health Insurance Mandate
Individual Marketplace Exam - Final Assessment 2019
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