Individual and Family Insurance Application

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Small Groups Insurance Applications

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Apply for Health Insurance in California

Click on the Covered California Apply Online button above if you think you may qualify for financial assistance and you are interested in an individual or family enrollment.

If you do not qualify for financial assistance, click on the Carrier’s name below to apply for individual or family health coverage directly with the carrier.

One of the best ways you can help speed up your application is by simply verifying that all the requested information is provided. This will help expedite the process and allow you to get covered as soon as possible.

How does the enrollment process work?

First, get some California health insurance quotes and determine your rates and eligibility for tax subsidies, if applicable. Next, select a plan and submit an application. If additional information or form(s) are needed, you will be contacted. If you need assistance at any time, contact (707) 571-7590 for live support.

Where do I submit my application?

Whenever possible, enroll online.

Otherwise, applications may also be submitted by fax or mail, per below.

  • Fax: 1-866-439-9993

  • Mail:
    Health for California Insurance Center 
    Attention: Enrollment
    750 Mendocino Avenue, Suite 4 
    Santa Rosa, CA 95401

  • Live Support: (707) 571-7590

What will the Covered California Application be like?

Applications will not include any medical questions, but rather, questions related to your income and the people listed on your income tax return. This will help Covered California determine if you or your family qualify for financial assistance, and if anyone in the household qualifies for insurance through the Medi-Cal program.

What will the Covered California Small Business Application for the Group Exchange be like?

The California Small Business Exchange application is similar to current enrollment forms for small group health insurance. You will need to provide contact information as well as information about your business and your employees. There will continue to be no denials for small groups, so the main point of the application is to prove that your small business is valid and qualifies for group coverage.