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Covered California for Small Business Change Request Form for Employees Fax completed form to (949) 809-3264 or mail to Covered California at P.O. Box 7010, Newport Beach, CA 92658 For assistance
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How to fill out Covered California for Small Business:

01
Gather necessary information: Before filling out the Covered California application, collect all the required details. This includes the business's name, address, number of employees, and the names and dates of birth of each employee.
02
Determine eligibility: Check the eligibility requirements for Covered California for Small Business. Generally, businesses must have between 1-100 eligible employees, offer employer-sponsored coverage, and meet certain participation and contribution requirements.
03
Complete the application: Start by visiting the Covered California website and clicking on the section for Small Business. Follow the instructions to begin the application process. Provide accurate and up-to-date information regarding your business and employees.
04
Choose a plan: Covered California for Small Business offers a variety of health insurance plans. Review the options available and select the plan that best suits the needs and budget of your business and employees.
05
Calculate the premium contribution: Determine the contribution you are willing to make towards the health insurance premiums for your employees. Covered California has guidelines for employer premium contributions based on the chosen plan.
06
Submit the application: After completing all the necessary sections of the application and ensuring accuracy, submit it online or via mail as instructed. Double-check that all required documents, such as proof of business and employer identification numbers, are included.

Who needs Covered California for Small Business:

01
Small business owners: Covered California for Small Business is designed for entrepreneurs and business owners who want to offer health insurance coverage options to their employees.
02
Small business employees: Employees working for small businesses can benefit from Covered California for Small Business. It provides access to affordable health insurance plans, allowing employees to protect their health and well-being.
03
Small business organizations: Associations or organizations representing small businesses can also explore Covered California for Small Business as a way to offer health insurance options to their members and affiliated businesses.
In conclusion, anyone who owns or works for a small business and is looking for health insurance options should consider Covered California for Small Business. By following the provided steps, small business owners can successfully fill out the necessary application and provide their employees with access to affordable healthcare coverage.
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Covered California for Small Business is a health insurance marketplace where small businesses can offer health insurance coverage to their employees.
Small businesses with 1-100 full-time equivalent employees are required to file Covered California for Small Business.
You can fill out Covered California for Small Business online through their website or by working with a certified insurance agent or navigator.
The purpose of Covered California for Small Business is to provide small businesses with a way to offer affordable health insurance options to their employees.
Information such as the number of employees, employee demographics, and desired coverage options must be reported on Covered California for Small Business.
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