I received a letter from you asking me to file the form “Projected Affordability – State Based Marketplace”.

I have extensively searched your entire website for it and cannot find this form. I phoned and asked your representative to send it to me but he said they were not equipped to do so.

I am out of options. Can you please send me a direct link to the form? Otherwise, it is impossible to find.


Unfortunately, we cannot help you with this.  We are an unofficial source for factual information about ObamaCare; we do not and cannot file tax or marketplace application forms for you.

You probably received the letter that you mentioned from your state marketplace, from the Federal Insurance Exchange, or from the IRS.  You should take another look at the letter and contact its original sender on how to find the form in question!

UPDATE: We want to clarify: We are not Healthcare.Gov. The comment count be referring to this: https://marketplace.cms.gov/applications-and-forms/exemption-application-instructions.pdf. However, I would still suggest asking the marketplace as I'm not recalling a form with this exact name.

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M Quick on

Answer Rating:

There is no such form even though the Feds ask for it. You need to write them a letter stating as much as explaining the grounds for your exemption. I got my exemption in a short time after doing so.

ObamaCareFacts.com on

The affordability worksheet is in the instructions of form 8965.

damin on

do you need to send any proofs with the letter ? is written letter enough to determine your exemption eligibility ?

ObamaCareFacts.com on

You don’t have to send proofs of calculating the fee and exemptions, the only proof you need is if you need an ECN to claim certain exemptions. The rest is confirmed by the rest of your tax information.


You cant help wth things you are even supposed to.

ObamaCareFacts.com on

They could be referring to this: https://marketplace.cms.gov/applications-and-forms/exemption-application-instructions.pdf

We are not healthcare.gov, we are an unofficial non-government related site for information. So we wouldn’t be expected to know everything. In this case i’m sure not exactly sure what form is being referred to?