Use National Form for these States

Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Georgia
Florida
Hawaii

Illinois
Indiana
Kansas
Kentucky
Maine
Maryland
Massachusetts
Michigan
Missouri
Montana
Nevada
New Hampshire
New Mexico
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
Wisconsin
Wyoming

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ACA Does Not Yet Offer Insurance in the Following States

Idaho
Iowa
Louisiana
Mississippi
Nebraska
New Jersey
West Virginia

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Adults & Childrens Alliance
2885 Country Drive, Suite 165
St. Paul, MN 55117-2621
Phone: 651 481-9320 • Toll Free: 1-800-433-8108
Fax: 651 481-4919 • Toll Free Fax: 1-800-377-6685
Email: info@acainc.org

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