To Apply for Coverage

Option 1: Complete Application and Mail it

Click Here for instructions on filling out the application

Send application forms to:
Covered California Service Center
P.O. Box 3530
Rancho Cordova, CA 95670-5667

Option 2: Online Application
Click Here to Apply Online

Information to have available when you call Covered CA:

  • Number of people being enrolled (whole or partial family), including the
    birth date of each person
  • Social security number(s) for each family member
  • Home ZIP code
  •  Most recent income tax filings, including dependent tax information and
    head of household status (if any)
  • Legal immigration information, such as your immigration number
  • Information about your status as a member of a federally recognized tribe

Affordable Care Act / Covered California
Important Information for Individuals