Applications and Forms
Resources for Participating Employers
2018 Employee application (English)
2018 Employer application (English)
Information Update Forms
Covered California Storefront Program
The Covered California Storefront Program was designed to increase the visibility of free, local and confidential in-person enrollment assistance for consumers. Certified Insurance Agents can connect to the Covered California brand by electing to open a Storefront in their community. Participation in the program is free.
Consumers looking for local, in-person assistance with their application can use the Storefront Finder Tool to search for Storefronts by zip code, days/hours of operation, and languages spoken.
Review our eligibility and signage requirements and to apply to become a Storefront here>>
Covered California Events
Events provide opportunities for consumers to get free assistance from certified enrollers.