Name:
Organization:
Address:
City:State:Zip:
Telephone Number:Email:
Special Enrollment Period (SEP) Fact Sheet (8.5” x 11”) / Publication Number / Quantity(limit 50 per piece)
Fact Sheet - SEP - ENGLISH / 10135
Fact Sheet - SEP - SPANISH / 10136
Fact Sheet - SEP - CHINESE / 10137 / Web Only
Fact Sheet - SEP - FRENCH / 10138 / Web Only
Fact Sheet - SEP - HAITIAN CREOLE / 10139 / Web Only
Fact Sheet - SEP - ITALIAN / 10140 / Web Only
Fact Sheet - SEP - KOREAN / 10141 / Web Only
Fact Sheet - SEP - RUSSIAN / 10142 / Web Only
What Info do I Need to Apply – Fact Sheet (8.5” x 11”) / Publication Number / Quantity
(limit 50 per piece)
Fact Sheet – What Info do I Need to Apply - ENGLISH / 10126
Fact Sheet – What Info do I Need to Apply - SPANISH / 10127
Fact Sheet – What Info do I Need to Apply - CHINESE / 10128 / Web Only
Fact Sheet – What Info do I Need to Apply - FRENCH / 10129 / Web Only
Fact Sheet – What Info do I Need to Apply – HAITIAN CREOLE / 10130 / Web Only
Fact Sheet – What Info do I Need to Apply - ITALIAN / 10131 / Web Only
Fact Sheet – What Info do I Need to Apply - KOREAN / 10132 / Web Only
Fact Sheet – What Info do I Need to Apply - RUSSIAN / 10133 / Web Only
Small Business Fact Sheet (8.5” x 11”) / Publication Number / Quantity
(limit 50 per piece)
Fact Sheet - Small Business - ENGLISH / 10001
Fact Sheet - Small Business - SPANISH / 10002
Fact Sheet - Small Business - CHINESE / 10003
Fact Sheet - Small Business - FRENCH / 10004
Fact Sheet - Small Business - HAITIAN CREOLE / 10005
Fact Sheet - Small Business - ITALIAN / 10006
Fact Sheet - Small Business - KOREAN / 10007
Fact Sheet - Small Business - RUSSIAN / 10008
Immigrants Fact Sheet (8.5” x 11”) / Publication Number / Quantity
(limit 50 per piece)
Fact Sheet – Immigrants - ENGLISH / 10009
Fact Sheet – Immigrants - SPANISH / 10010
Fact Sheet – Immigrants - CHINESE / 10011
Fact Sheet – Immigrants - FRENCH / 10012
Fact Sheet – Immigrants - HAITIAN CREOLE / 10013
Fact Sheet – Immigrants - ITALIAN / 10014
Fact Sheet – Immigrants - KOREAN / 10015
Fact Sheet – Immigrants - RUSSIAN / 10016
Young Adults Fact Sheet (8.5” x 11”) / Publication Number / Quantity
(limit 50 per piece)
Fact Sheet - Young Adults - ENGLISH / 10017
Fact Sheet - Young Adults - SPANISH / 10018
Fact Sheet - Young Adults - CHINESE / 10019
Fact Sheet - Young Adults - FRENCH / 10020
Fact Sheet - Young Adults - HAITIAN CREOLE / 10021
Fact Sheet - Young Adults - ITALIAN / 10022
Fact Sheet - Young Adults - KOREAN / 10023
Fact Sheet - Young Adults - RUSSIAN / 10024
Paying for Health Insurance Fact Sheet (8.5” x 11”) / Publication Number / Quantity
(limit 50 per piece)
Fact Sheet - Paying for Health Insurance - ENGLISH / 10025 / OUT OF STOCK
Fact Sheet - Paying for Health Insurance - SPANISH / 10026
Fact Sheet - Paying for Health Insurance - CHINESE / 10027
Fact Sheet - Paying for Health Insurance - FRENCH / 10028
Fact Sheet - Paying for Health Insurance - HAITIAN CREOLE / 10029
Fact Sheet - Paying for Health Insurance - ITALIAN / 10030
Fact Sheet - Paying for Health Insurance - KOREAN / 10031
Fact Sheet - Paying for Health Insurance - RUSSIAN / 10032
Why You Need Health Insurance Fact Sheet (8.5” x 11”) / Publication Number / Quantity
(limit 50 per piece)
Fact Sheet – Why You Need Health Insurance - ENGLISH / 10033
Fact Sheet - Why You Need Health Insurance - SPANISH / 10034
Fact Sheet - Why You Need Health Insurance - CHINESE / 10035
Fact Sheet - Why You Need Health Insurance - FRENCH / 10036
Fact Sheet - Why You Need Health Insurance - HAITIAN CREOLE / 10037
Fact Sheet - Why You Need Health Insurance - ITALIAN / 10038
Fact Sheet - Why You Need Health Insurance - KOREAN / 10039
Fact Sheet - Why You Need Health Insurance - RUSSIAN / 10040
Small Businesses Poster (Small - 8.5” x 11”) / Publication Number / Quantity
(limit 10 per piece)
Poster - Small Business - ENGLISH / 10041
Poster - Small Business - SPANISH / 10042
Poster - Small Business - CHINESE / 10043
Poster - Small Business - FRENCH / 10044
Poster - Small Business - HAITIAN CREOLE / 10045
Poster - Small Business - ITALIAN / 10046
Poster - Small Business - KOREAN / 10047
Poster - Small Business - RUSSIAN / 10048
Individuals & Families Poster (Small - 8.5” x 11”) / Publication Number / Quantity
(limit 10 per piece)
Poster - Individual s & Families - ENGLISH / 10049
Poster - Individual s & Families- SPANISH / 10050
Poster - Individual s & Families - CHINESE / 10051
Poster - Individual s & Families - FRENCH / 10052
Poster - Individual s & Families - HAITIAN CREOLE / 10053
Poster - Individual s & Families - ITALIAN / 10054
Poster - Individual s & Families- KOREAN / 10055
Poster - Individual s & Families- RUSSIAN / 10056
Young Adults Poster (Small - 8.5” x 11”) / Publication Number / Quantity
(limit 10 per piece)
Poster - Young Adults- ENGLISH / 10057 / OUT OF STOCK
Poster - Young Adults- SPANISH / 10058
Poster - Young Adults- CHINESE / 10059
Poster - Young Adults- FRENCH / 10060
Poster - Young Adults- HAITIAN CREOLE / 10061
Poster - Young Adults- ITALIAN / 10062
Poster - Young Adults- KOREAN / 10063
Poster - Young Adults- RUSSIAN / 10064
Individuals & Families Poster (Medium – 11”x17”) / Publication Number / Quantity
(limit 10 per piece)
Poster – Individuals & Families – SPANISH NEW! / 10108
Poster – Individuals & Families – CHINESE NEW! / 10109
Young Adults Poster (Medium - 11” x 17”) / Publication Number / Quantity
(limit 10 per piece)
Poster – Young Adults – ENGLISH NEW! / 10134
Small Business Poster (Large - 18” x 24”) / Publication Number / Quantity
(limit 10 per piece)
Poster - Small Business - ENGLISH / 10065
Poster - Small Business - SPANISH / 10066
Poster - Small Business - CHINESE / 10067
Poster - Small Business - FRENCH / 10068
Poster - Small Business- HAITIAN CREOLE / 10069
Poster - Small Business - ITALIAN / 10070
Poster - Small Business - KOREAN / 10071
Poster - Small Business - RUSSIAN / 10072
Individuals & Families Poster (Large - 18” x 24”) / Publication Number / Quantity
(limit 10 per piece)
Poster - Individual s & Families - ENGLISH / 10073
Poster - Individual s & Families - SPANISH / 10074 / OUT OF STOCK
Poster - Individual s & Families - CHINESE / 10075 / OUT OF STOCK
Poster - Individual s & Families - FRENCH / 10076
Poster - Individual s & Families - HAITIAN CREOLE / 10077
Poster - Individual s & Families - ITALIAN / 10078
Poster - Individual s & Families - KOREAN / 10079
Poster - Individual s & Families - RUSSIAN / 10080
Young Adults Poster (Large - 18” x 24”) / Publication Number / Quantity
(limit 10 per piece)
Poster - Young Adults - ENGLISH / 10081 / OUT OF STOCK
Poster - Young Adults - SPANISH / 10082 / OUT OF STOCK
Poster - Young Adults - CHINESE / 10083
Poster - Young Adults - FRENCH / 10084
Poster - Young Adults - HAITIAN CREOLE / 10085
Poster - Young Adults - ITALIAN / 10086
Poster - Young Adults - KOREAN / 10087 / OUT OF STOCK
Poster - Young Adults - RUSSIAN / 10088 / OUT OF STOCK
Individuals & Families Rack Card (4” x 9”) / Publication Number / Quantity
(limit 150 per piece)
Rack Card - Individuals & Families - ENGLISH (Caucasian Photo) / 10089
Rack Card – Individuals & Families - ENGLISH
(African American photo) / 10125
Rack Card - Individuals & Families - SPANISH / 10090
Rack Card - Individuals & Families - CHINESE / 10091
Rack Card - Individuals & Families - FRENCH / 10092
Rack Card - Individuals & Families - HAITIAN CREOLE / 10093
Rack Card - Individuals & Families - ITALIAN / 10094
Rack Card - Individuals & Families - KOREAN / 10095 / OUT OF STOCK
Rack Card - Individuals & Families - RUSSIAN / 10096
Small Business Rack Card (4” x 9”) / Publication Number / Quantity
(limit 150 per piece)
Rack Card - Small Business - ENGLISH / 10097
Rack Card - Small Business - SPANISH / 10098
Rack Card - Small Business - CHINESE / 10099
Rack Card - Small Business - FRENCH / 10100
Rack Card - Small Business - HAITIAN CREOLE / 10101
Rack Card - Small Business - ITALIAN / 10102
Rack Card - Small Business - KOREAN / 10103
Rack Card - Small Business - RUSSIAN / 10104
Tear Off Cards (8.5” x 11”) / Publication Number / Quantity
(limit 100 per piece)
Tear Off Card - ENGLISH / 10143
Tear Off Card - SPANISH / 10144
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