Get Covered Coalition Registration

Get Covered Coalition Registration

Welcome!

The Get Covered Coalition is comprised of passionate individuals and organizations dedicated to ensuring all Dakotans have access to affordable, comprehensive health insurance and care.

We're thrilled to have you join us.

Please fill out the information below.

First Name*

Last Name*

Organization

Email Address*

Telephone Number

Phone

Preferred Contact Method

Call

Text

Email

How would you like to be involved?*

Host Community Education Event

Host Insurance Enrollment Event

Educate Your Organization's Staff About Medicaid

Make Referrals To Insurance Navigators

Distribute Informational Material

Share Social Media Content

Participate In A Coalition Workgroup

Advocate Against Medicaid Work Requirements

Help develop recommendations for simplifying Medicaid enrollments and renewals

Receive Policy Action Alerts

Share Stories About How Medicaid Has Changed A Life

Other

If other, please share your idea here!

Send me a copy of my responses

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