Open Enrollment 2026

You can apply for CHCP during the open enrollment period, which runs from November 1, 2025 to January 31, 2026.

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Apply online

You can submit your application online in a few easy steps! Click the button below to get started.

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Want to send your application manually?

1. Fill out the application for health coverage

Download the Kaiser Permanente Individual and Family plan application

Review our CHCP Instruction Guide for specific instructions.

Note: Social Security numbers or tax identification numbers are not required to apply for CHCP, but if you have one please include it on the application.

Need help completing your application?

2. Fill out the CHCP subsidy application. (Be sure to include proof of income when you send in your application.)

Download the CHCP Application for Subsidy

Here are the best ways to show proof of your income:

If you get a paycheck or direct deposit, we need:

• your last 2 paycheck stubs, or
• your most recent W-2, or
• your most recent wage or tax statement

If you work for yourself, we need:

• a Schedule C and page 1 of your last federal tax return (showing your adjusted gross income), or
• a completed Profit and Loss Statement form

If you get paid in cash, we need:

• a signed letter of income from your employer on company letterhead or the Reporting Form for Other Income.

If you have income from other sources (e.g. social security, unemployment benefits):

• include documentation showing proof (e.g. a benefit statement)

Need help completing your application? Find a local organization near you that can help.