Enroll in Health Insurance
Change or cancel plans
More Details If You...
Taxes, Fees & Exemptions
Select “Go Back” below to stay on HealthCare.gov.
We offer this link to the Marketplace Appeal Request Form online solely for your convenience. If you complete and submit the Marketplace Appeal Request Form on the following page, you’ll receive an email confirmation of your appeal submission and be contacted by the Marketplace Appeal Center regarding next steps.
Once you leave HealthCare.gov, you’re subject to the privacy and security policies of the Marketplace Appeal Application Form site, operated by DocuSign, Inc.