How to Apply for Community Health Care Program
Open enrollment for 2022 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, you can apply for coverage through the 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
- The Kaiser Permanente Subsidy Eligibility 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:
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 your child/children will be approved for the Community Health Care Program. We may ask you for more information to determine your child/children’s eligibility.
When you’ll hear from us:
We’ll let you know if we can include your child/children 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.