How to Apply for Community Health Care Program-Important Deadlines

Open enrollment for 2024 has ended, but you can still apply during a special enrollment period if you experience a qualifying life event.

Special Enrollment Period

You can apply for coverage if you have a certain type of event in your life — called a qualifying life event. A qualifying life event is when something important in your life changes. For example, if you get married or divorced, give birth, or lose health coverage because you lost your job or no longer qualify for Medi-Cal, you can apply for coverage through Community Health Care Program.

In general, the special enrollment period lasts 60 days after a qualifying life event.

If you have a qualifying life event, you’ll need to send in these documents:

The Kaiser Permanente for Individual and Families Application for Health Coverage
The Kaiser Permanente Application for Subsidy form and include proof of income.
- If you are self-employed, are paid in cash, or have other sources of income, complete the Re porting Form for Other Income.

Proof of your qualifying life event

For more information about your proof of qualifying life event, look at the Special Enrollment Period Guide or visit kp.org/chcspecialenrollment.

By email:
CHC-Applications@kp.org

By Mail:
Kaiser Foundation Health Plan, Inc.
California Service Center
P.O. Box 939095
San Diego, CA 92193-9095

By fax:
1-855-355-5334

Note: Sending your forms to us does not guarantee that you will be approved for the Community Health Care Program. We may ask you for more information to determine your eligibility.

When you’ll hear from us: We’ll let you know if we can include you in the Community Health Care Program after we receive and review your completed forms and proof of income.

*Continued eligibility for the Community Health Care Program is not guaranteed. We reserve the right to close enrollment or change the CHCP eligibility rules at any time. If you are approved for CHCP, the subsidy period is limited, and we will contact you in the future to confirm that you still qualify.

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