AFFORDABLE CARE ACT & WELLNESS FORUM Saturday, November 15, 2014 1:00PM to 4:00PM @ The Chapel of Christian Love 875 Cascade Road SW Atlanta, GA 30311 Affordable Care Kick-Off *Join Us & Get The Facts* KEYNOTE SPEAKER: Dr. Pamela Roshell HOSTED BY *Rev. J. Allen Milner, GCPA Tres. MODERATOR *Rashad Richey, 1380AM WAOK FEATURED SPEAKERS *Rev. Samuel Mosteller, SCLC GA Pres. *C. Huxie Wilkins, Seedco Program Dir. *Tyrone Brooks, State Rep. (D-63) *Edna Stiggers, Fulton Co. Food Safety *Rhonda Hunter, Medicare/Medicaid Dr. Roshell is the Southeast Region IV Director of the U.S. Department of Health and Human Services (HHS), bringing nearly 20 years of experience in health care policy, public administration, and gerontology. (GA, AL, MS, KY, TN, NC, SC, FL) Partners: *Lynette Allen, Fulton Co. Health Dept. Sponsored By:  National Action Network  Your Money Counts, Inc Dr. Pamela Roshell is the Region IV Director of the U.S. Department of Health and Human Services (HHS), bringing nearly 20 years of experience in health care policy, public administration, and gerontology. National Action Network | 632 Peoples Street SW, Atlanta, Georgia 30310 | Phone: 678-732-0405 When Applying For Coverage @ the Health Insurance Marketplace, You Will Need To Provide Some Information About Yourself & Household. This Includes: Income, Insurance Currently Held, & See Below For More. You will need these documents to complete your marketplace Application! (For Each Person Needing Coverage) 1. Social Security Number or document numbers for legal immigrants. 2. Employer & Income information (i.e. paystubs or W-2 forms-wage, and **If you do not qualify for ACA, there are other options** tax statements). 3. Policy numbers for any current health insurance plans covering members of your household. 4. Completed employer coverage tool for every job-based plan you or someone in your household is eligible for, (you must fill out this Need To Sign Up? *Enroll With Us @ The ACA Kickoff* November 15, 2014 Open Enrollment: 11/15/14 to 02/15/14 We Are Here To Help! Have Any Questions/Complaints? Please Call form even if eligible & do not enroll). Seedco (470) 428-2087 OR Get Covered America-GA (404) 490-2749 ***Affordable HealthCare Kick-Off*** National Action Network | 632 Peoples Street SW, Atlanta, Georgia 30310 | Phone: 678-732-0405