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Submitted URL: https://44.202.189.131/mifs/.;/services/LogService
Effective URL: https://www.healthcare.gov/
Submission: On September 23 via manual from US — Scanned from DE

Form analysis 5 forms found in the DOM

Name: gsearch — GET /search

<form role="search" class="gsearch" name="gsearch" method="get" action="/search">
  <div class="question">
    <input aria-label="Site Search" autocomplete="off" class="mobile-search form-control appearance" id="mobile-search" name="q" placeholder="Search" title="Enter text to search" type="text">
    <button class="btn btn-search" value="search"> Search </button>
  </div>
</form>

Name: gsearch — GET /search

<form role="search" class="gsearch" name="gsearch" method="get" action="/search">
  <div class="input-group">
    <input aria-label="Site Search" autocomplete="off" type="text" id="input-main-nav-search" class="form-control" title="Enter text to search" name="q">
    <span class="input-group-btn">
      <button class="btn btn-default submit" type="submit">
        <span class="visible-lg" style="text-transform: capitalize;">Search</span><span class="glyphicons search hidden-lg" aria-label="search button"></span></button>
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</form>

<form class="group" id="subscribe-form-modal"><input id="key" type="hidden" name="a" value="1">
  <div class="modal-dialog modal-lg">
    <div class="modal-content">
      <div class="modal-header">
        <button type="button" class="close" data-dismiss="modal" aria-hidden="true"> × </button>
        <h1 title="Sign up for updates &amp; reminders from HealthCare.gov modal window" id="modal-nams"> Sign up for updates &amp; reminders from HealthCare.gov </h1>
      </div>
      <div class="modal-body">
        <div class="forms screen" id="screen1">
          <div class="subscribe-type group">
            <p>Subscribe to get email (or text) updates with important deadline reminders, useful tips, and other information about your health insurance.</p>
            <div class="error-msg row hide" aria-hidden="true" role="alert">
              <div class="col-md-12">
                <h2 id="error-title" tabindex="0">Your information contains <span class="errorNumber"></span> error(s):</h2>
                <a class="invalid-state hide error-text-box" aria-hidden="true" onclick="document.getElementById('modal-state-dropdown').focus(); return false;" href="#">Please choose a state.</a>
                <a class="invalid-email hide error-text-box" aria-hidden="true" onclick="document.getElementById('address-modal').focus(); return false;" href="#">Sorry, that email address is invalid.</a>
                <a class="invalid-number hide error-text-box" aria-hidden="true" onclick="document.getElementById('number-modal').focus(); return false;" href="#">Sorry, that mobile phone number is invalid.</a>
                <a class="blank-email hide error-text-box" aria-hidden="true" onclick="document.getElementById('address-modal').focus(); return false;" href="#">You need to provide either your email address or mobile phone number.</a>
                <a class="blank-number hide error-text-box" aria-hidden="true" onclick="document.getElementById('number-modal').focus(); return false;" href="#">You need to provide either your email address or mobile phone number.</a>
                <a class="invalid-checkbox hide error-text-box" aria-hidden="true" onclick="document.getElementById('check1').focus(); return false;" href="#">Please select a topic.</a>
                <a class="blank-campaign hide error-text-box" aria-hidden="true" onclick="document.getElementById('address-modal').focus(); return false;" href="#">Please enter your email address.</a>
              </div>
            </div>
            <div class="clearfix spacer-bottom20"></div>
            <label for="modal-state-dropdown">Pick your state</label>
            <!-- State Select input -->
            <div class="form-select">
              <select class="form-control state subscribe-state" id="modal-state-dropdown" name="q_23536" required="">
                <option disabled="" selected="" value="state">Select a state</option>
                <option value="58659">Alabama</option>
                <option value="58660">Alaska</option>
                <option value="58661">Arizona</option>
                <option value="58662">Arkansas</option>
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                <option value="58674">Iowa</option>
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                <option value="58677">Louisiana</option>
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                <option value="58680">Massachusetts</option>
                <option value="58681">Michigan</option>
                <option value="58682">Minnesota</option>
                <option value="58683">Mississippi</option>
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                <option value="58685">Montana</option>
                <option value="58686">Nebraska</option>
                <option value="58687">Nevada</option>
                <option value="58688">New Hampshire</option>
                <option value="58689">New Jersey</option>
                <option value="58690">New Mexico</option>
                <option value="58691">New York</option>
                <option value="58692">North Carolina</option>
                <option value="58693">North Dakota</option>
                <option value="58694">Ohio</option>
                <option value="58695">Oklahoma</option>
                <option value="58696">Oregon</option>
                <option value="58697">Pennsylvania</option>
                <option value="58698">Rhode Island</option>
                <option value="58699">South Carolina</option>
                <option value="58700">South Dakota</option>
                <option value="58701">Tennessee</option>
                <option value="58702">Texas</option>
                <option value="58703">Utah</option>
                <option value="58704">Vermont</option>
                <option value="58705">Virginia</option>
                <option value="58706">Washington</option>
                <option value="58707">West Virginia</option>
                <option value="58708">Wisconsin</option>
                <option value="58709">Wyoming</option>
                <option value="58710">American Samoa</option>
                <option value="58711">Guam</option>
                <option value="58712">Northern Mariana Islands</option>
                <option value="58713">Puerto Rico</option>
                <option value="58714">Virgin Islands</option>
              </select>
              <span class="caret"></span>
              <p id="invalid-state-id" class="invalid-state hide error-text" aria-hidden="true" tabindex="-1"> Please choose a state. </p>
            </div>
            <div class="row">
              <div class="col-sm-6">
                <div class="spacer-bottom20"></div>
                <!-- Left column div on modal view -->
                <label for="address-modal">Get email updates</label>
                <!-- Email text input -->
                <input class="form-control subscribe-email" placeholder="Enter email address" id="address-modal" name="e" type="email" optional="" value="">
                <p id="invalid-email-id" class="invalid-email hide error-text" aria-hidden="true" tabindex="-1"> Sorry, that email address is invalid. </p>
                <p id="blank-email-id" class="blank-email hide error-text" aria-hidden="true" tabindex="-1"> You need to provide either your email address or mobile phone number. </p>
                <div class="spacer-bottom40"></div>
              </div>
              <!-- Close Left column div on modal view -->
              <div class="col-sm-6">
                <!-- Right column div on modal view -->
                <div class="clearfix spacer-bottom20"></div>
                <label for="number-modal">Get text message updates (optional)</label>
                <!-- Number text input -->
                <input class="form-control subscribe-number" title="Phone Number" placeholder="Enter mobile phone number" id="number-modal" name="w" type="tel">
                <p id="invalid-number-id" class="invalid-number hide error-text" aria-hidden="true" tabindex="-1"> Sorry, that mobile phone number is invalid. </p>
                <p id="blank-number-id" class="blank-number hide error-text" aria-hidden="true" tabindex="-1"> You need to provide either your email address or mobile phone number. </p>
                <p class="subscribe-number-sms-compliance"> Text STOP to cancel. Text HELP for help. You may get up to 3 messages a week. Message and data rates may apply. </p>
                <div class="spacer-bottom40"></div>
              </div>
            </div>
          </div>
        </div>
        <!-- Topics screen -->
        <div id="screen3" class="hidden">
          <fieldset class="sub">
            <legend class="sr-only">What would you like to get updates about?</legend>
            <div class="error-msg row hide" aria-hidden="true">
              <div class="col-md-12">
                <h2 id="error-title-screen2" role="alert" tabindex="0">Your information contains <span class="errorNumber"></span> error(s):</h2>
                <a class="invalid-checkbox hide error-text-box" aria-hidden="true" role="alert" onclick="document.getElementById('check1').focus(); return false;" href="#">Please select a topic.</a>
              </div>
            </div>
            <div class="checkbox">
              <label>
                <input type="checkbox" id="check1" name="t[]" value="USCMSHIM_19">Health insurance for individuals &amp; families</label>
            </div>
            <div class="checkbox">
              <label>
                <input type="checkbox" id="check2" name="t[]" value="USCMSHIM_20">Health insurance for small businesses</label>
            </div>
            <div class="checkbox">
              <label>
                <input type="checkbox" id="check3" name="t[]" value="USCMSHIM_2">News &amp; information from the HealthCare.gov blog</label>
            </div>
          </fieldset>
          <p class="invalid-checkbox hide error-text" aria-hidden="true"> Please select a topic. </p>
        </div>
        <!--complete-->
        <div class="complete screen hidden" id="screen2">
          <p>Now that you’re signed up, we’ll send you deadline reminders, plus tips about how to get enrolled, stay enrolled, and get the most from your health insurance.</p>
          <p></p>
        </div>
      </div>
      <div class="modal-footer flex">
        <a class="privacy pull-left flex-privacy mobile-2" href="/privacy">Privacy policy</a>
        <span
          class="wireless-terms mobile-1"><a href="https://granicus.com/wireless/healthcare/" rel="external" target="_blank">Wireless Terms &amp; Conditions</a><a href="https://www.healthcare.gov/links-to-other-sites/" target="_blank" class="external-link"><img src="/images/external-link-icon.png" alt="This link takes you to a website not operated by the federal government. The site may have different privacy and security policies."></a></span>
        <!-- continue button -->
        <input title="CONTINUE" class="ds-u-margin-sm-left--0 ds-u-margin-md-left--4 btn btn-md btn-green continue pull-right mobile-3" type="submit" value="SIGN UP">
        <!-- Submit button -->
        <input title="CONTINUE" class="btn btn-md btn-green col-sm-3 pull-right valid modal-submit mobile-3" type="submit" value="CONTINUE" style="display: none;">
        <a href="/" class="btn btn-md btn-green next col-sm-3 pull-right valid" style="display: none;">CLOSE</a>
      </div>
    </div>
  </div>
</form>

<form novalidate="">
  <div id="prefix-overlay-label">Get email updates</div>
  <input placeholder="Email Address" name="e" type="email" required="" id="prefix-emailInput" aria-labelledby="prefix-overlay-label" title="Email Address">
  <div id="prefix-questions"><select name="q_23536" class="prefix-questionId">
      <option value="" selected="" disabled="">Select a state</option>
      <option value="58659">Alabama</option>
      <option value="58660">Alaska</option>
      <option value="58661">Arizona</option>
      <option value="58662">Arkansas</option>
      <option value="58663">California</option>
      <option value="58664">Colorado</option>
      <option value="58665">Connecticut</option>
      <option value="58666">Delaware</option>
      <option value="58667">District of Columbia</option>
      <option value="58668">Florida</option>
      <option value="58669">Georgia</option>
      <option value="58671">Idaho</option>
      <option value="58672">Illinois</option>
      <option value="58673">Indiana</option>
      <option value="58670">Hawaii</option>
      <option value="58674">Iowa</option>
      <option value="58675">Kansas</option>
      <option value="58676">Kentucky</option>
      <option value="58677">Louisiana</option>
      <option value="58678">Maine</option>
      <option value="58679">Maryland</option>
      <option value="58680">Massachusetts</option>
      <option value="58681">Michigan</option>
      <option value="58682">Minnesota</option>
      <option value="58683">Mississippi</option>
      <option value="58684">Missouri</option>
      <option value="58685">Montana</option>
      <option value="58686">Nebraska</option>
      <option value="58687">Nevada</option>
      <option value="58688">New Hampshire</option>
      <option value="58689">New Jersey</option>
      <option value="58690">New Mexico</option>
      <option value="58691">New York</option>
      <option value="58692">North Carolina</option>
      <option value="58693">North Dakota</option>
      <option value="58694">Ohio</option>
      <option value="58695">Oklahoma</option>
      <option value="58696">Oregon</option>
      <option value="58697">Pennsylvania</option>
      <option value="58698">Rhode Island</option>
      <option value="58699">South Carolina</option>
      <option value="58700">South Dakota</option>
      <option value="58701">Tennessee</option>
      <option value="58702">Texas</option>
      <option value="58703">Utah</option>
      <option value="58704">Vermont</option>
      <option value="58705">Virginia</option>
      <option value="58706">Washington</option>
      <option value="58707">West Virginia</option>
      <option value="58708">Wisconsin</option>
      <option value="58709">Wyoming</option>
      <option value="58710">American Samoa</option>
      <option value="58711">Guam</option>
      <option value="58712">Northern Mariana Islands</option>
      <option value="58713">Puerto Rico</option>
      <option value="58714">Virgin Islands</option>
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  <div id="prefix-state-label"><label for="q_23536">Select a state</label></div>
  <input type="submit" value="Start here" id="prefix-submitButton">
  <div id="prefix-consent-outer">
    <input name="consent" type="checkbox" id="prefix-consentPolicyInput">
    <label for="prefix-consentPolicyInput" id="prefix-consentPolicyLabel">By checking this box, you consent to our <a href="https://www.healthcare.gov/privacy/" target="_blank" rel="noopener noreferrer">data privacy policy</a>.</label>
  </div>
</form>

<form id="prefix-formStepForm"><label for="prefix-smsInput">Enter mobile phone number</label><input name="sms" type="tel" id="prefix-smsInput" placeholder="Enter mobile phone number" tabindex="-1">
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  <input type="submit" value="Continue" id="prefix-formStep-submitButton" tabindex="-1">
</form>

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See TopicsHas subitems

Enroll in health insurance

 * 2023 dates & deadlines
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 * Medicaid & CHIP
 * How to apply and enroll
 * Picking a plan
 * Catastrophic plans & exemptions

Change or cancel plans

 * Change/update plans for 2022
 * See if you can change plans
 * Report income/family changes
 * Cancel a plan

Saving money

 * New, lower costs available
 * See if you'll save
 * Save on your premiums
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 * High Deductible Health Plans

How to...

 * Use your coverage
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 * Appeal a Marketplace decision
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 * Pay premium & check coverage status

More details if you...

 * Just had a baby or adopted
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Taxes

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HHS.gov
A federal government website managed and paid for by the U.S. Centers for
Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244.
Health Insurance Marketplace® is a registered trademark of the Department of
Health and Human Services.
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--------------------------------------------------------------------------------


RESOURCES

 * About the Affordable Care Act
 * Regulatory and Policy Information
 * For Navigators, Assisters & Partners
 * For Agents & Brokers
 * For the Media
 * For Researchers
 * For States
 * Information in other languages


CONNECT WITH US

 * Questions? Call 1-800-318-2596
 * Find Local Help
 * Visit the HealthCare.gov blog

 * FacebookTwitterYouTube

All Topics | Glossary | Contact Us | Archive
Nondiscrimination / Accessibility | Privacy Policy | Privacy Settings | Linking
Policy | Using This Site | Plain Writing

--------------------------------------------------------------------------------

中文 |  Kreyòl |  Français |  Deutsch |  ગુજરાતી |  हिंदी |  Italiano |  日本語 | 
한국어 |  Polski |  Português |  Русский |  Español |  Tagalog |  tiếng việt | 
HHS.gov A federal government website managed and paid for by the U.S. Centers
for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244.
Health Insurance Marketplace® is a registered trademark of the Department of
Health and Human Services.
 * Whitehouse.gov
 * USA.gov

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