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Applying for the COFA Program

Plan ahead

Step 1: Get ready

You need to have the following documents and information together to sign up for the COFA Premium Assistance Program:
  • I-94 number.
  • Social Security number or Alien Resident number (if you have one).
  • Passport from the Republic of the Marshall Islands, Federated States of Micronesia or Republic of Palau.
  • Proof of Oregon address (driver’s license, state ID, etc.).
  • Pay stubs or W-2 forms from your job.
  • Information about health insurance that you can get through an employer.
  • OHA eligibility notice (Form OHA 640F) that shows you do not qualify for the Oregon Health Plan.
  • If you have a account, gather the user name and password. If you were enrolled in a qualified health plan for 2017, 2018, 2019, or 2020, you have a account.
  • Check if your preferred provider is in the network of the insurance carriers covering your county.

Step 2: Apply for the Oregon Health Plan (OHP)

  • Visit to see if you qualify for OHP. You can also get in-person helpin any of the upcoming enrollment events listed above.
  • If you are eligible for OHP, apply for health insurance coverage through OHP.
  • If you have been denied OHP, you can apply for the COFA Premium Assistance Program.

Step 3: Get free help

Step 4: Get health insurance

Apply for the COFA Premium Assistance Program

  • Submit your completed COFA Premium Assistance Program application form by mail or fax. Or, your community partner or agent can submit it for you.
  • Complete COFA Premium Assistance Program applications and required documents must be received by the 15th of the month by 5 p.m. to be eligible for premium sponsorship to begin the first day of the following month.  If complete applications are received the 16th day to the end of the month, sponsorship may begin the first day of the second following month. You may need to pay the first month’s premium to make your plan active before the COFA Premium Assistance Program can begin paying your premium.

Submit proof you enrolled in a program-approved plan by printing a screen shot from your account and mailing it to the COFA Program. Screen shots should be taken from either the “Congratulations” screen or “My Plans & Programs” screen.

Step 5: Use your 2021 health insurance

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