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COFA Islander Health Care

Compact of Free Association (COFA) Islander Health Care provides health coverage for eligible COFA islanders.

COFA Islander Health Care logo

Interested in COFA outreach materials? 

View the COFA outreach toolkit

About the program

Starting January 1, 2019 the Health Care Authority (HCA) will  pay the monthly premiums and out-of-pocket expenses for silver level qualified health plans for eligible COFA islanders.

COFA islanders include people from the Republic of the Marshall Islands, the Federated State of Micronesia, and the Republic of Palau.

COFA islanders and Governor Inslee at health care signing ceremony

Program requirements

You may be eligible for COFA Islander Health Care if you:

  • Are a COFA islander.
  • Have income less than 133 percent of the federal poverty level (FPL).
  • Live in Washington.
  • Enroll into a silver level qualified health plan.
  • Agree to file federal taxes (even if you do not meet tax filing requirements).
  • Not receiving other federal or state medical coverage.
Household Size 

Single person

2-person household

3-person household

4-person household

5-person household

Monthly Income  $1,346 $1,825




Household Size  6-person household

7-person household

8-person household 

9-person household

10-person household

Monthly Income 






When to apply for coverage​

Submit applications for coverage during open enrollment  November 1, 2018 through December 15, 2018 for coverage starting January 1, 2019.

How to apply for coverage

When you’re ready to apply, you’ll need this information:

  • Your household monthly income.
  • The Social Security numbers and dates of birth for each member of your household.
  • Your immigration information.

How can I get involved?

To help others apply for coverage in your community or get more information about the program,  email us at cofaquestions@hca.wa.gov or call 1-800-547-3109.

You may view our promotional COFA Islander Health Care video in English or view other languages on the COFA outreach toolkit webpage.