Submit Documents for Special Enrollment
Some consumers who apply for coverage through Covered California in a special-enrollment period are asked to submit verification of their qualifying life event. If you receive a letter asking you to submit documents for your qualifying life event, check the Special Enrollment Acceptable Document List to select the right document to send to us.
If you cannot locate an acceptable document, you may submit a form attesting that you qualify for special enrollment due to a move or a loss of health insurance. View and print the attestation form for moving to or within California and the attestation form for loss of coverage.
You may submit your special enrollment verification documents or attestation form to Covered California in one of the following ways:
Online: The upload link should not be used for anything other than responding to a Special Enrollment Notice you received in the mail. Submit manual verification documents by fax, mail or through your online account.
Upload your document here. To upload documents, scan or take a photo of the document you want to upload. Save it to your computer first.
By fax: (888) 217-9310
Help is available in English and other languages at the phone number listed below.