Covered California Small Business Application
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Covered california small business application. Covered california for small business ccsb will accept new business submissions through the first five business days of the month for same month coverage provided a new business late submission acknowledgement form is signed and submitted with the enrollment application. Para obtener una copia de este formulario en espanol llame 855 777 6782. If you are a certified insurance agent register for an account here.
Covered california has updated the draft qhp and qdp small business applications reflecting changes from public comment. Need to login as a different type of user. Interested applicants should reference instructions in section 1 of the application.
First name last name sux 7. Application materials are available here. Not dominant in field of operation.
Covered california helps small businesses find high quality health plans for their employees through the small business health options program shop. If you have questions about this application or need help completing it contact your covered california certied insurance agent or call 855 777 6782. Should you need assistance with your health plan application please contact a member of the ccsb sales team at smallbusinessatcoveredcagov or by calling 844 332 8384 monday through friday between 800 am.
Covered california for small business is accepting qhp applications for fourth quarter 2017. You may even be able to get help paying for your health care or qualify for medi cal. Principal office located in california.
We help you choose a plan that works best for your health care needs and your budget. Covered california for small business service center 15525 sand canyon avenue irvine ca 92618 page 6 of 6 need help. Covered california for small business employer application rev.
General agent login agent login employee login dont have an account. Be independently owned and operated. First name last name sux authorized representative if you want to name someone as your authorized representative optional 6.
We make it simple to enroll and make changes to your employer health benefits plan with covered california for small business. Small business sb certification eligibility requirements and benefits. Applicants will ultimately complete the applications electronically and questions will populate based on applicant type currently contracted qhp issuer or new entrant applicant as indicated in application documents.
In order for a small business to be eligible for certification the small business must meet the following requirements.
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