On-Exchange California Application

Enrollment Trigger


1. The Basics

2. Household

Primary Member
Member #2
Member #3
Member #4
Member #5
Member #6
Member #7
Member #8

3. Tax Status

4. Eligibility

5. Income

5. Plan Selection

You can run your quote HERE.  Make sure to put in income estimate and select "On Exchange" to see tax credit effect. 
Dental (if enrolling)

5. Almost Complete!

E-Signature * 🛈
What to Expect:
Email Confirmation - Usually received within 24 hours (business hours 9am-5pm Monday-Friday) of completed application with plan, rate, and effective date.
Covered California Confirmation by Mail - Usually within 5 business days from email confirmation
1st Invoice from Carrier - Usually within 5 days of Covered Ca letter
IMPORTANT:  1st invoice activates the account and must be paid within 15 days of enrollment (email confirmation).  We can take first payment by phone after email confirmation or you can pay with invoice.  You can also access pay by phone options here.  

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