How to Apply for Community Health Care Program – Important Deadlines
Southern California Wildfires and Santa Cruz Storm – Special Enrollment Period
If you reside in Los Angeles or Ventura County and have been impacted by the recent fires, you are eligible to enroll in health coverage from January 7 through March 8. If you reside in Santa Cruz County and have been impacted by the recent storm, you are eligible to enroll in health coverage from February 14 through April 15.
Community Health Care Program applicants who have been impacted by the wildfires or the storm and live within an affected Kaiser Permanente service area will be considered under this Special Enrollment Period (SEP). All CHCP eligibility rules apply.
If you wish to apply, we recommend you contact a community partner for application assistance.
Kaiser Permanente for Individuals and Families (KPIF) Application:
In Step 1, select “A special enrollment period”, then select the “Determination by Covered California of exceptional circumstances” qualifying life event (QLE). Provide the date the QLE occurred. The date must fall between January 7 and March 8, 2025 if you reside in Los Angeles or Ventura County, or between February 14 and April 15 if you reside in Santa Cruz County. Complete the remaining sections of the KPIF Application.
Application for Subsidy:
Complete the Application for Subsidy and use Section 4 (Other) to explain the impact of the wildfires or storm.
Special Enrollment Period
Open enrollment for 2025 has ended, but you can still apply during a Special Enrollment Period (SEP) if you experience a qualifying life event.
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, you can apply for coverage through Community Health Care Program.
In general, the special enrollment period lasts 60 calendar days after a qualifying life event.
All CHCP Eligibility criteria apply during the SEP. Applicants must meet ALL criteria to be approved.
If you have a qualifying life event, you’ll need to send in these documents:
- Kaiser Permanente for Individual and Families Application
- 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 Reporting 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.
Where to submit your forms and proof:
By email: (preferred)
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.