Proof of Residency Documents

To prove residency in Massachusetts or Rhode Island, the following document requirements are effective April 15, 2025. Documents must be included with the submission of all new individual applications. Documents must be kept on file and made available upon request by HSA Insurance or the carrier for all add transactions.

Please also refer to the Qualifying Event document requirements available on our Resources page, Can I buy health insurance?

Documents must display the residential address with the applicant’s name — no P.O. boxes or “in-care of” can be accepted.

If you are required to prove residency due to an out of area address on your supporting documentation:

You must submit 1 document from List A and 2 documents from List B or provide 3 documents from list B.

If you are enrolling due to a change in your primary residence:

• You must submit 1 document from list A, 2 documents from list B and 1 document as proof of residency at the former address from List C.
• Or provide 3 documents from list B, and 1 document as proof of residency at the former address from List C.

All documents proving the new residence must be dated within 60 days of the move.

LIST A:

• State Issued ID, Driver’s License, or Learner’s Permit
• State-issued resident professional license
• Vehicle registration
•  Voter registration
• Current firearms card
• Jury duty summons
• Court correspondence
• Tax Documents such as: Property or real estate tax
• Excise tax
• Federal tax document/statement
• Section 8 agreement

LIST B: These documents must be dated within 60 days of the move.

• An internet, cable, phone, or other public utility (like gas or water) bill or service communication. This must show the date that your new utilities or services started.
• U.S. Postal Service change of address confirmation letter that includes the mail forwarding date and the address the mail will be forwarded to.
• Mortgage or rental document for your new address, including:
  • A mortgage deed that says the owner uses the property as a primary residence.
  • A rental or lease agreement that shows a start date at your new address.
  • Homeowners insurance policy that includes your policy start date at your new address.

• A letter from a government organization, on official letterhead or stationery, that shows a change of address to your new address, including:
  • A Social Security statement.
  • A notice from SNAP (food stamps) or TANF (cash assistance) agency.
  • Mail from the Department of Motor Vehicles (DMV).
  • Mail from the Internal Revenue Service (IRS).
  • Mail from the Low Income Home Energy Assistance Program (LIHEAP).
• Auto insurance policy5
• Current installment loan contract (car loan)
• Pay stub
• Credit card statement
• Insurance bill (auto or home)
• Cell phone bill
• Bank statement (savings or checking account)
• Pension statement (401k, 457, SEP, etc.)
• Retirement statement
• SSA statement
• Medicaid statement

For applicants under the age of 18 who are unable to provide any of the documents above:

• School-issued documents on official letterhead or stationery (including from any college, university, or trade school) dated within 60 days of the date of the move:
  • Official school transcript for current year
  • Official letter from school (proof of enrollment)
  • Tuition for current year
  • Certified school record for current year

List C: Proof of Former Residence

Documents below must be dated within 12 months before your move:

• State Issued ID, Driver’s License, or Learner’s Permit that shows your former residence.
• Mortgage or rental document for your former address, including:
  • A mortgage deed that says the owner uses the property as a primary residence.
  • A rental or lease agreement.
  • Homeowners insurance policy.
• State-issued resident professional license
• Vehicle registration
• Auto insurance policy
• Voter registration
• Current firearms card
• Jury duty summons
• Court correspondence
• Tax Documents such as:
  • Property or real estate tax
  • Excise tax
  • Federal tax document/statement
• Section 8 agreement

Documents below must be dated within 60 days before the date of the move:

• An internet, cable, phone, or other public utility (like gas or water) bill or service communication
• Current installment loan contract (car loan)
• Pay stub
• Credit card statement
• Insurance bill (auto or home)
• Cell phone bill
• Bank statement (savings or checking account)
• Pension statement (401k, 457, SEP, etc.)
• Retirement statement
• SSA statement
• Medicaid statement
• Individual Health Insurance coverage verification letter

For applicants under the age of 18 who are unable to provide any of the documents above:

• School-issued documents on official letterhead or stationery (including from any college, university, or trade school) dated within 12 months before your move:
• Official school transcript for current year
• Official letter from school (proof of enrollment)
• Tuition for current year
• Certified school record for current year

For applicants that moved from foreign country, you can submit:

• An Arrival/Departure Record (I-94/I-94A) (in a foreign passport or separately) that shows your date of entry into the U.S.
• A passport with an admission stamp showing your date of entry into the U.S.
• Government issued document showing residency in foreign country
• Mortgage or rental document for your former address, including:
  • A mortgage deed that says the owner uses the property as a primary residence.
  • A rental or lease agreement.

All documents must be translated into English and notarized by a notary public at the expense of the applicant.

Please note: The carrier may request additional documentation and/or deny applications if the validity of the documents is unable to be verified by the carrier.