You can submit your application in any of the following ways. Find out who's eligible and how to apply for MassHealth, Health Safety Net, and the Children's Medical Security Plan.Use this form to gather information about employers that offer traditional health coverage to anyone on your Health Connector application. How to fill out the Massachusetts Health Care Coverage Form MA 1099-HC? 1. Enter the name and FID number of the insurance company. 2. Use this form to choose and change the MassHealth health plan and primary care provider that best fits you or your family's health care needs. To download the form you need, follow the links below. The Massachusetts Health Connector is the state's Marketplace for health and dental insurance. Before your get started, be sure to check the Help Center. Please fill out the first section of this form. 2.