HRA - Serving the health insurance needs of Connecticut residents since 1976.

pdf_icon.png2014 CT Carrier
Assessment Base Form


If you are a carrier, click here for form download and instructions.


Customized help here...

If you are not quite sure how to answer the question, call us at 1-800-842-0004 Toll-free.

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Are you a Connecticut resident and under age 65?



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