Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Marketplace Appeals Center (Health Insurance Marketplace) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Marketplace Appeals Center (Health Insurance Marketplace) fax number
(877) 369-0130
Marketplace Appeals Center
Used for: Appeal of Marketplace eligibility determinations (e.g., eligibility for coverage, premium tax credits, CSR). Submissions can be online, by mail, or by fax to the secure fax line.
Fax destination details
- Department
- Marketplace Appeals Center
- Purpose
- Appeal of Marketplace eligibility determinations (e.g., eligibility for coverage, premium tax credits, CSR). Submissions can be online, by mail, or by fax to the secure fax line.
- Form
- Marketplace Appeal Request Form (FTR 2026) — Marketplace Appeal Request Form (FTR 2026)
- Address
- Health Insurance Marketplace, ATTN: Appeal, 465 Industrial Blvd., London, KY 40750-0061
- Voice phone
- 1-855-231-1751
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the Marketplace Appeal Request Form or write a letter including the appellant's name, address, and reason for the appeal. If appealing for someone else, include that person's name. Submit by secure fax to 1-877-369-0130 or by mail to Health Insurance Marketplace, ATTN: Appeal, 465 Industrial Blvd., London, KY 40750-0061.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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