Protecting Consumer Information

Marketing & Branding

Application and Forms

Employee:
Application
Application (Español)
Change Request
Change Request (Español)

Employer:
Application
Application (Español) 
Change Request
Change Request (Español) 
 
COBRA Forms:
COBRA cancellation
COBRA Forms
COBRA Rights
Federal COBRA
 
Other:
SHOP Appeal Request Form
SHOP Complaint Form
SHOP at a Glance
Employer Guide
- Guidelines to applying on-line for an individual application
- Agent Delegation Instructions
- Special Enrollment Periods
- Agent Agreement Amendment
- Agent Agreement

 

Contact Us

AGENT & SHOP SERVICE CENTER
(877) 453-9198 or agents@covered.ca.gov

CALL THE AGENT & SHOP SERVICE CENTER FOR:

  • General questions and support on Covered California™ products
  • SHOP commission inquiries
  • Agent training and certification
  • Agent sales support

*Contact the specific carrier for Individual Marketplace commission inquiries.


CUSTOMER SERVICE PHONE NUMBERS
for members of Covered California Health Insurance Plans

Anthem Blue Cross of California (877) 702-3074
Blue Shield of California (800) 393-6130
Chinese Community Health Plan (888) 775-7888
Health Net (800) 522-0088
Kaiser Permanente (800) 464-4000
L.A. Care Health Plan (888) 452-2273
Molina Healthcare (888) 665-4621
Sharp Health Plan (800) 827-4277
Western Health Advantage (888) 563-2250
Valley Health Plan (408) 885-4760