[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-306749-105":53,"doc-detail-306749-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","additional-person-single-page-supplement-step-2-additional-person","Additional Person Single Page Supplement - Step 2 - Additional Person","","Additional Person Single Page Supplement provides Step 2 details for a spouse, children, and other household members included on a federal income tax return. The form collects personal identification and household relationship information, eligibility questions, pregnancy information, and needs for health coverage. It also gathers citizenship or immigration status, military service indicators, foster care, incarceration, student status, ethnicity and race options, and current job and income details for determining coverage and costs. It directs users to complete related application forms.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/additional-person-single-page-supplement-step-2-additional-person/306749/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/additional-person-single-page-supplement-step-2-additional-person/306749.png","ImageObject",442,249,{"name":88,"@type":89},"Mabel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is Step 2 for the Additional Person Single Page Supplement used for?","Question",{"text":108,"@type":109},"It is used to provide details about the additional person(s) you include with your application, such as your spouse and children who live with you and/or those on your federal income tax return.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which basic information does the form request for the additional person?",{"text":113,"@type":109},"It asks for the person’s name, whether they are married/never married/divorced/widowed/separated, date of birth, sex, relationship to you, and whether they live at the same address.",{"name":115,"@type":106,"acceptedAnswer":116},"How does the form collect income information?",{"text":117,"@type":109},"It includes a section for current job details (employer name, address, phone, wages/tips, and average hours worked) and indicates where to skip questions based on employment or self-employment status.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},306749,1791266746,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","The Additional Person Single Page Supplement is not a stand-alone application. You must also complete the Application for Health Coverage and Help Paying Costs and submit the Additional Person Single Page Supplement with that application.  \n STEP 2: ADDITIONAL PERSON  Name from STEP 1    \n| Complete Step 2 for your spouse and children who live with you and/or anyone on your same federal income tax return if you file one. Include both parents living in the home (for a child under 21) . See page 1 for more information about who to include. If you don’t file a tax return, remember to still add family members who live with you. |  |  |  |\n| --- | --- | --- | --- |\n| 1. First name | Middle name | Last name | Suffix |\n\n1a. Is this PERSON?  Married  Never married  Divorced  Widowed  Separated  \n\n| 3. Date of birth (mm/dd/yyyy) |  |  | /  | / |  |  |  |  |  | 4. Sex |  Male |  Female | 2. Relationship to you? |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\n5. Social Security number (SSN)  -  -   \nWe need this if you want health coverage for this PERSON and they have an SSN.  \n6. Does this PERSON live at the same address as you?  Yes  No  \nIf no, list address:    \n7. Does this PERSON plan to file a federal income tax return NEXT YEAR?  \n(You can still apply for health insurance even if this PERSON doesn’t file a federal income tax return.)  \n YES. If yes, please answer questions a–c.  NO. If no, skip to question c.  \na. Will this PERSON file jointly with a spouse?  Yes  No  \nIf yes, name of spouse:    \nb. Will this PERSON claim any dependents on his or her tax return?  Yes  No  \nIf yes, list name(s) of dependents:    \nc. Will this PERSON be claimed as a dependent on someone’s tax return?  Yes  No  \nIf yes, please list the name of the tax filer:   How is this PERSON related to the tax filer?    \n\n| 8. Is this PERSON pregnant? Or were they pregnant in the last 60 days?  Yes  No |  |  |\n| --- | --- | --- |\n| a. If yes, how many babies are expected during this pregnancy? |  | Expected due date:   |\n| 9. Does this PERSON need health coverage? (Even if this PERSON has Medicare or other insurance, there might be a program with better coverage or lower costs.) If NO, skip to the income questions on the next page and leave the rest of this page blank.\u003Cbr> YES. If yes, answer all the questions below. \u003Cbr>|  |  |\n\n9a. If aged 19 to 64 and not eligible for full coverage, does this PERSON wish to be evaluated for Plan First (family planning coverage only)? Yes  No  This PERSON will be evaluated for Plan First unless you check NO  \n\n| 10. Does this PERSON need help with everyday things like bathing, dressing, walking or using the bathroom to live safely in their home? or Has a doctor or nurse told them that they have a physical disability or long term disease, mental or emotional illness, or addiction problem?  Yes  No If this PERSON is 65 or older or has Medicare, please complete Appendix D |\n| --- |\n| 10a. If this PERSON answered yes to question 9 and is between the ages of 19-64, and does not have Medicare, but needs long term services and supports, please complete Appendix F. |\n| 11. Is this PERSON a U.S. citizen or U.S. national?  Yes  No |\n\n12. If this PERSON isn’t a U.S. citizen or U.S. national, do they have eligible immigration status?  Yes. Fill in their document type and ID number below.  \na. Immigration document type   d. Is this PERSON, or their spouse or parent a veteran or an  \nb. Document ID number active-duty member of the U.S. military?  Yes  No  e. Has this PERSON, their spouse or a parent ever served in  \nc. Has this PERSON lived in the U.S. since 1996?  Yes  No the U.S. military?  Yes  No  \n\n| 13. Is this PERSON living with at least one child under age 19 and the main person taking care of this child?  Yes  No | 14. Was this PERSON in foster care at age 18 or older?  Yes  No If yes, in which state   |\n","cbCaigq3sK07al1W","https://ap.wps.com/l/cbCaigq3sK07al1W","pdf",118500,"English","# STEP 2: ADDITIONAL PERSON\n## Name and relationship information\n## Eligibility and special conditions\n## Citizenship, immigration, and service\n## Household and demographic details\n## Current job and income information","[{\"question\":\"What is Step 2 for the Additional Person Single Page Supplement used for?\",\"answer\":\"It is used to provide details about the additional person(s) you include with your application, such as your spouse and children who live with you and/or those on your federal income tax return.\"},{\"question\":\"Which basic information does the form request for the additional person?\",\"answer\":\"It asks for the person’s name, whether they are married/never married/divorced/widowed/separated, date of birth, sex, relationship to you, and whether they live at the same address.\"},{\"question\":\"How does the form collect income information?\",\"answer\":\"It includes a section for current job details (employer name, address, phone, wages/tips, and average hours worked) and indicates where to skip questions based on employment or self-employment status.\"}]","Additional Person Single Page Supplement - Step 2 - Additional Person | PDF",1789840720]