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Covered California for Small BusinessChange Request Form for Employers 2019Check here if changes are to be effective at renewal. Must be received prior to renewal date. Fax completed form to (949×
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Pdf Covered California is for individuals and families to apply for health insurance through the California Health Benefit Exchange.
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The purpose of pdf Covered California is to help individuals and families obtain affordable health insurance coverage through the California Health Benefit Exchange.
On pdf Covered California, individuals must report personal information, household details, income sources, and any other information required to determine eligibility for health insurance coverage.
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