Form DSS-EA-FSSA Application for Health Coverage & Help Paying Costs - South Dakota

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Form DSS-EA-FSSA Application for Health Coverage & Help Paying Costs - South Dakota

What Is Form DSS-EA-FSSA?

This is a legal form that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DSS-EA-FSSA application?
A: The DSS-EA-FSSA application is an application for health coverage and help paying costs in South Dakota.

Q: What does FSSA stand for?
A: FSSA stands for Federal Subsidy State Agreement.

Q: Who is eligible to apply for the DSS-EA-FSSA application?
A: Individuals in South Dakota who need health coverage and help paying costs may be eligible to apply for the DSS-EA-FSSA application.

Q: What does the DSS-EA-FSSA application cover?
A: The DSS-EA-FSSA application covers health coverage and assistance with paying costs for eligible individuals in South Dakota.

Q: What documents do I need to include with the DSS-EA-FSSA application?
A: You may need to include documents such as proof of income, verification of identity, and proof of citizenship or immigration status with your DSS-EA-FSSA application.

Q: What happens after I submit the DSS-EA-FSSA application?
A: After you submit the DSS-EA-FSSA application, your eligibility for health coverage and help paying costs will be determined, and you will receive a notice of decision.

Q: Are there any fees for applying for the DSS-EA-FSSA application?
A: There are no fees for applying for the DSS-EA-FSSA application in South Dakota.

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Form Details:

  • Released on October 1, 2022;
  • The latest edition provided by the South Dakota Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DSS-EA-FSSA by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.

Download Form DSS-EA-FSSA Application for Health Coverage & Help Paying Costs - South Dakota

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