• Meet program income guidelines.
• Provide any requested proof of income, such as taxes, pay-stubs and W-2s. Self-employed persons must provide complete federal personal and business taxes. Read more about who is considered self-employed.
• Be an Oklahoma resident.
• Be between the ages of 19 and 64.
• Be a United States citizen or provide a permanent resident card that shows you have been in the United States for more than five years.
• Not be enrolled in any state program (Medicaid, SoonerCare, family planning, BCC) or Medicare.
• Not be currently covered by a private health insurance policy or plan.
• Be able to provide Social Security numbers for all household members.
• Report all annual household income received (earned and unearned). Refer to the income fact sheet. 
  

You must also meet one of the following criteria:

• Be employed by an employer who employs less than 250 employees (less than 500 employees for nonprofits) and does not offer Insure Oklahoma Employer Sponsored Insurance (ESI); or
• Be unemployed and eligible to collect unemployment benefits as determined by Oklahoma Employment Securities Commission (OESC); or
• Be a disabled adult with a Federal Ticket to Work certificate.
• Spouses may be approved for benefits if (s)he:
  • Is not employed,
  • works full-time for an employer that would qualify but is not participating,
  • part-time (less than 29 hours per week), employed by any size employer.
   

Proceed to Application Process