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Employer Application721 South Parker, Suite 200, Orange, CA 92868 (800) 5588003 www.calchoice.com Group #A(For CaliforniaChoice use only) Please complete using black ink Return signed and completed
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Go to the Californiachoice website.
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Click on the 'Register' or 'Sign Up' button.
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Fill out the required information such as your name, email address, and password.
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Agree to the terms and conditions.
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Verify your email address through the email sent by Californiachoice.
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Log in to your account.
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Navigate to the 'Online Form' section.
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Fill out the online form by providing accurate information regarding your personal details, employment, and healthcare preferences.
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Anyone who wants to enroll or make changes to their healthcare plan through Californiachoice can use the online form. It is convenient for individuals or employers who want to access and manage their healthcare choices easily from anywhere with an internet connection.
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