California - Enroll Online For Health Plans - 2 Easy Ways To Enroll...
*If you have any questions on how to enroll GIVE US A CALL: 1-800-915-0501
Once you understand why you need health care coverage and whether you qualify for financial assistance, the next step is knowing when and how to enroll. Here’s an overview of what you need to do to get the plan of your choice.
There’s a deadline to apply for health care coverage. you can apply only between Octover 1, 2013, and March 31, 2014. This is called the open enrollment period. It’s when you can enroll in health plans through Covered California or directly through Kaiser Permanente.
To enroll during this 2014 open enrollment period, you must make sure we receive your completed application for health coverage - along with your first month’s premium - no later than March 31, 2014
After open enrollment, you can still enroll during special enrollment periods in the case of certain events that change your status. Special enrollment periods last 60 days after any of these events, which may include the following:
- - marriage
- - birth or adoption of a child
- - divorce
- - loss of job and employer-sponsored coverage
Please include proof of your special event with your application.
Open enrollment period - October 1, 2013 through March 31, 2014
If you want your coverage to start on:
Your completed application an first month’s premium must be received by:
January 1, 2014
October 1, 2013 – December 15, 2013
February 1, 2014
December 16, 2013 – January 15, 2014
March 1, 2014
January 16, 2014 – February 15, 2014
April 1, 2014
February 16, 2014 – March 15, 2014
May 1, 2014
March 16, 2014 – March 31, 2014
Special enrollment period – April 1, 2014 through November 15, 2014
Enrolling outside open enrollment due to a life-changing event
If you want your coverage to start on:
Your completed application an first month’s premium must be received by:
May 1, 2014
April 1, 2014 – April 15, 2014
June 1, 2014
April 16, 2014 – May 15, 2014
July 1, 2014
May 16, 2014 - June 15, 2014
August 1, 2014
June 16, 2014 - July 15, 2014
September 1, 2014
July 16, 2014 - August 15, 2014
October 1, 2014
August 16, 2014 – September 15, 2014
November 1, 2014
September 16, 2014 – October 15, 2014
December 1, 2014
October 16, 2014 – November 15, 2014
Please follow these instructions:
From the above links you can download and print the application or have one sent to you via mail.
- Use a black or blue ink pen to complete the application for yourself and/or family members.
- Be sure to answer all questions accurately for all members applying.
- Applications must be completed and submitted by the applicant, or parent/guardian for children under 18.
- Be sure to sign and date your application.
Additional Resources:
- - Disclosure Forms
- - Child Only Brochure
- - Notice of Language Assistance
- - Spanish Application
Please mail the completed application to:
Kmhealthquote.com
2235 Sara Way
Carlsbad, CA 92008
Or fax completed application to:
888-436-4342
Your application will be reviewed upon receipt. If the application is complete, you will receive a written decision of your membership status within three weeks. To receive an email verification and notice of application status, please include your email address on the cover page and submit with your application.
Do not cancel your current coverage. Receipt of your application does not imply acceptance.
