Temporary Medical Insurance Plan

This questionnaire will help us determine who will have coverage on January 1, 2014, and who will need to obtain coverage between January 1 and March 31, 2014, when TMIP ends and ACA open enrollment closes. This website is HIPAA compliant and will keep your information secure.

The information that you provide will help us make sure all our OMIP members have coverage without a break.

* Please fill in the the following information:

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