 {"id":314,"date":"2022-11-01T23:44:15","date_gmt":"2022-11-01T23:44:15","guid":{"rendered":"https:\/\/charitablehealth.kaiserpermanente.org\/northern-california\/?page_id=314"},"modified":"2026-02-02T17:44:22","modified_gmt":"2026-02-02T17:44:22","slug":"apply-now","status":"publish","type":"page","link":"https:\/\/charitablehealth.kaiserpermanente.org\/california\/apply-now\/","title":{"rendered":"Apply Now"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column][\/vc_column][\/vc_row][vc_row remove_bottom_col_margin=&#8221;true&#8221; center_row=&#8221;yes&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]\n<h3><strong>Important Update: The California Community Health Coverage Program has met program capacity and is no longer accepting applications for the 2026 enrollment period. Please continue to check the website for opportunities to apply in the future.<\/strong><\/h3>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;]<div class=\"templatera_shortcode\"><div class=\"vc_row wpb_row vc_row-fluid wpex-relative\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element boxed\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/contact\/#assistance\">Find a community partner near you<\/a><\/p>\n<p><strong>Have questions?<\/strong><br \/>\nCall us toll-free at<br \/>\n<b>1-800-464-4000<\/b> (TTY <b>711<\/b>)<\/p>\n<p>24 hours a day, 7 days a week<br \/>\n(closed major holidays)<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row disable_element=&#8221;yes&#8221; remove_bottom_col_margin=&#8221;true&#8221; center_row=&#8221;yes&#8221; el_id=&#8221;open-enrollment-NCAL-closed-SCAL-open&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]\n<h1>Important Update for Open Enrollment 2026<\/h1>\n[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<strong>The Community Health Coverage Program (CHCP) has met program capacity in Northern California. CHCP is no longer accepting applications for the 2026 enrollment period from residents of the following counties:<\/strong><\/p>\n<p style=\"padding-left: 40px\"><em>Alameda, Amador, Calaveras, Contra Costa, El Dorado, Fresno, Kings, Madera, Marin, Mariposa, Mendocino, Merced, Monterey, Napa, Nevada, Placer, Sacramento, San Benito, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus, Sutter, Tulare (zip codes: 93618, 93631, 93646, 93654, 93666, 93673), Tuolumne, Yolo, and Yuba<\/em><\/p>\n<p><strong>CHCP remains OPEN in Southern California and will accept applications from residents of the following counties:<\/strong><\/p>\n<p style=\"padding-left: 40px\"><em>Imperial, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, Tulare (zip codes: 93238, 93261), and Ventura<\/em><\/p>\n[\/vc_column_text]\n<table id=\"tablepress-1\" class=\"tablepress tablepress-id-1\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">To start coverage on:<\/th><th class=\"column-2\">Send your completed paperwork by:<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">January 1, 2026<\/td><td class=\"column-2\">December 31, 2025<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">February 1, 2026<\/td><td class=\"column-2\">January 31, 2026<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n[vc_column_text css=&#8221;&#8221;]\n<hr \/>\n<h2>Apply online<\/h2>\n<p>You can submit your application online in a few easy steps! Click the button below to get started.[\/vc_column_text]<a href=\"https:\/\/apply-individual-family.kaiserpermanente.org\/chc-shopplan\" class=\"vcex-button theme-button inline\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"vcex-button-inner theme-button-inner wpex-flex wpex-flex-wrap wpex-items-center wpex-justify-center\">I&#8217;m ready to apply online!<\/span><\/a> [vc_column_text css=&#8221;&#8221;]\n<hr \/>\n<h2>Want to send your application manually?<\/h2>\n<p><strong>1. Fill out the application for health coverage<\/strong><\/p>\n<p><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2025\/10\/1618269361_Application-KPIF-CA-2026_CA_2025_Bklt_R3A_ATV_rl_RGB_ADA.pdf\" target=\"_blank\" rel=\"noopener\">Download the Kaiser Permanente Individual and Family plan application<\/a><\/p>\n<p>Review our <a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2025\/10\/1767114236_CHC-CA-2026-Instruction-Guide_CA_2025_Flr_R2a_ATC_lh_RGB_ADA.pdf\" target=\"_blank\" rel=\"noopener\">CHCP Instruction Guide<\/a> for specific instructions.<\/p>\n<p>Note: Social Security numbers or tax identification numbers are <strong>not<\/strong> required to apply for CHCP, but if you have one please include it on the application.<\/p>\n<p><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/contact\/\" rel=\"noopener\">Need help completing your application?<\/a><\/p>\n<p><strong>2. Fill out the CHCP subsidy application. (Be sure to include proof of income when you send in your application.)<\/strong><\/p>\n<p><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2025\/10\/1742287228_CHC-CA-2026-OE-Subsidy-Form_CA_2025_BrchBklt_r2a_ATC_as_RGB_ADA-1.pdf\" target=\"_blank\" rel=\"noopener\">Download the CHCP Application for Subsidy<\/a><\/p>\n<p>Here are the best ways to show proof of your income:<\/p>\n<p>If you get a paycheck or direct deposit, we need:<\/p>\n<ul>\n<li>your last 2 paycheck stubs, or<\/li>\n<li>your most recent W-2, or<\/li>\n<li>your most recent wage or tax statement<\/li>\n<\/ul>\n<p>If you work for yourself, we need:<\/p>\n<ul>\n<li>a Schedule C and page 1 of your last federal tax return (showing your adjusted gross income), or<\/li>\n<li>a completed Profit and Loss Statement form<\/li>\n<\/ul>\n<p>If you get paid in cash, we need:<\/p>\n<ul>\n<li>a signed letter of income from your employer on company letterhead or the <a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2023\/12\/profit-and-loss-statement-form-and-declaration-en_sp-1.pdf\" target=\"_blank\" rel=\"noopener\">Reporting Form for Other Income<\/a>.<\/li>\n<\/ul>\n<p>If you have income from other sources (e.g. social security, unemployment benefits):<\/p>\n<ul>\n<li>include documentation showing proof (e.g. a benefit statement)<\/li>\n<\/ul>\n<p>Need help completing your application? <a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/contact\/\">Find a local organization near you that can help.<\/a>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;]<div class=\"templatera_shortcode\"><div class=\"vc_row wpb_row vc_row-fluid wpex-relative\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element boxed\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Support<\/strong><\/p>\n<p><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/contact\/#assistance\">Find organizations near you that can help you complete the CHCP application<\/a><\/p>\n<p><strong>Have questions?<\/strong><br \/>\nCall us toll-free at<br \/>\n<b>1-800-464-4000<\/b> (TTY <b>711<\/b>)<\/p>\n<p>24 hours a day, 7 days a week<br \/>\n(closed major holidays)<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row disable_element=&#8221;yes&#8221; remove_bottom_col_margin=&#8221;true&#8221; center_row=&#8221;yes&#8221; el_id=&#8221;open-enrollment&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]\n<h1>Open Enrollment 2026<\/h1>\n<p>You can apply for CHCP during the open enrollment period, which runs from <strong>November 1, 2025<\/strong>\u00a0to <strong>January 31, 2026<\/strong>.[\/vc_column_text]\n<table id=\"tablepress-1-no-2\" class=\"tablepress tablepress-id-1\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">To start coverage on:<\/th><th class=\"column-2\">Send your completed paperwork by:<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">January 1, 2026<\/td><td class=\"column-2\">December 31, 2025<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">February 1, 2026<\/td><td class=\"column-2\">January 31, 2026<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n[vc_column_text css=&#8221;&#8221;]\n<hr \/>\n<h2>Apply online<\/h2>\n<p>You can submit your application online in a few easy steps! Click the button below to get started.[\/vc_column_text]<a href=\"https:\/\/apply-individual-family.kaiserpermanente.org\/chc-shopplan\" class=\"vcex-button theme-button inline\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"vcex-button-inner theme-button-inner wpex-flex wpex-flex-wrap wpex-items-center wpex-justify-center\">I&#8217;m ready to apply online!<\/span><\/a> [vc_column_text css=&#8221;&#8221;]\n<hr \/>\n<h2>Want to send your application manually?<\/h2>\n<p><strong>1. Fill out the application for health coverage<\/strong><\/p>\n<p><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2025\/10\/1618269361_Application-KPIF-CA-2026_CA_2025_Bklt_R3A_ATV_rl_RGB_ADA.pdf\" target=\"_blank\" rel=\"noopener\">Download the Kaiser Permanente Individual and Family plan application<\/a><\/p>\n<p>Review our <a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2025\/10\/1767114236_CHC-CA-2026-Instruction-Guide_CA_2025_Flr_R2a_ATC_lh_RGB_ADA.pdf\" target=\"_blank\" rel=\"noopener\">CHCP Instruction Guide<\/a> for specific instructions.<\/p>\n<p>Note: Social Security numbers or tax identification numbers are <strong>not<\/strong> required to apply for CHCP, but if you have one please include it on the application.<\/p>\n<p><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/contact\/\" rel=\"noopener\">Need help completing your application?<\/a><\/p>\n<p><strong>2. Fill out the CHCP subsidy application. (Be sure to include proof of income when you send in your application.)<\/strong><\/p>\n<p><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2025\/10\/1742287228_CHC-CA-2026-OE-Subsidy-Form_CA_2025_BrchBklt_r2a_ATC_as_RGB_ADA-1.pdf\" target=\"_blank\" rel=\"noopener\">Download the CHCP Application for Subsidy<\/a><\/p>\n<p>Here are the best ways to show proof of your income:<\/p>\n<p>If you get a paycheck or direct deposit, we need:<\/p>\n<ul>\n<li>your last 2 paycheck stubs, or<\/li>\n<li>your most recent W-2, or<\/li>\n<li>your most recent wage or tax statement<\/li>\n<\/ul>\n<p>If you work for yourself, we need:<\/p>\n<ul>\n<li>a Schedule C and page 1 of your last federal tax return (showing your adjusted gross income), or<\/li>\n<li>a completed Profit and Loss Statement form<\/li>\n<\/ul>\n<p>If you get paid in cash, we need:<\/p>\n<ul>\n<li>a signed letter of income from your employer on company letterhead or the <a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2023\/12\/profit-and-loss-statement-form-and-declaration-en_sp-1.pdf\" target=\"_blank\" rel=\"noopener\">Reporting Form for Other Income<\/a>.<\/li>\n<\/ul>\n<p>If you have income from other sources (e.g. social security, unemployment benefits):<\/p>\n<ul>\n<li>include documentation showing proof (e.g. a benefit statement)<\/li>\n<\/ul>\n<p>Need help completing your application? <a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/contact\/\">Find a local organization near you that can help.<\/a>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;]<div class=\"templatera_shortcode\"><div class=\"vc_row wpb_row vc_row-fluid wpex-relative\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element boxed\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Support<\/strong><\/p>\n<p><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/contact\/#assistance\">Find organizations near you that can help you complete the CHCP application<\/a><\/p>\n<p><strong>Have questions?<\/strong><br \/>\nCall us toll-free at<br \/>\n<b>1-800-464-4000<\/b> (TTY <b>711<\/b>)<\/p>\n<p>24 hours a day, 7 days a week<br \/>\n(closed major holidays)<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row disable_element=&#8221;yes&#8221; remove_bottom_col_margin=&#8221;true&#8221; center_row=&#8221;yes&#8221; el_id=&#8221;special-enrollment&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]\n<h1>Special Enrollment Period<\/h1>\n<p>Open enrollment for 2026 has ended, but you can still apply during a Special Enrollment Period (SEP) if you experience a qualifying life event.<\/p>\n<hr \/>\n<h2>How to apply for the Community Health Coverage Program (CHCP) \u2014 Important deadlines<\/h2>\n<p>You can apply for coverage if you have a certain type of event in your life \u2014 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 or Medicare, you can apply for coverage through CHCP.<\/p>\n<p>In general, the special enrollment period lasts <strong>60 days after a qualifying life event<\/strong>.<\/p>\n<hr \/>\n<h2>Apply online<\/h2>\n<p>You can submit your application online in a few easy steps! Click the button below to get started.[\/vc_column_text]<a href=\"https:\/\/apply-individual-family-qa2.kaiserpermanente.org\/chc-shopplan\" class=\"vcex-button theme-button inline\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"vcex-button-inner theme-button-inner wpex-flex wpex-flex-wrap wpex-items-center wpex-justify-center\">I&#8217;m ready to apply online!<\/span><\/a> [vc_column_text css=&#8221;&#8221;]\n<hr \/>\n<h2>Want to send your application manually?<\/h2>\n<p>If you have a qualifying life event, you\u2019ll need to send in these documents:<\/p>\n<ul>\n<li><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2024\/12\/1331752755_OE-Application_KPIF_CA_2025_Frm_R4A_ATV_ADA.pdf\" target=\"_blank\" rel=\"noopener\">Kaiser Permanente for Individual and Families Application<\/a><\/li>\n<li><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2024\/11\/1463418626_OE-App-Subsidy_CHC_CA_2025_Frm_R2B_ATV_rl_LoRes_ADA.pdf\" target=\"_blank\" rel=\"noopener\">Kaiser Permanente Application for Subsidy form<\/a> and include proof of income<br \/>\nIf you are self-employed, are paid in cash, or have other sources of income, complete the <a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2023\/12\/profit-and-loss-statement-form-and-declaration-en_sp-1.pdf\" target=\"_blank\" rel=\"noopener\">Reporting Form for Other Income<\/a>.<\/li>\n<li>Proof of your qualifying life event.<\/li>\n<\/ul>\n<p>For more information about your proof of qualifying life event, look at the <a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-content\/uploads\/sites\/9\/2025\/04\/1619067039_CHC-EW-SEP-Flyer_Multi_2025_Flr_R1A_ATV_rl_RGB_ADA.pdf\" target=\"_blank\" rel=\"noopener\">Special Enrollment Period Guide<\/a> or visit <a href=\"http:\/\/www.kp.org\/chcspecialenrollment\" target=\"_blank\" rel=\"noopener\">kp.org\/chcspecialenrollment<\/a>.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;]<div class=\"templatera_shortcode\"><div class=\"vc_row wpb_row vc_row-fluid wpex-relative\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element boxed\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Support<\/strong><\/p>\n<p><a href=\"https:\/\/charitablehealth.kaiserpermanente.org\/california\/contact\/#assistance\">Find organizations near you that can help you complete the CHCP application<\/a><\/p>\n<p><strong>Have questions?<\/strong><br \/>\nCall us toll-free at<br \/>\n<b>1-800-464-4000<\/b> (TTY <b>711<\/b>)<\/p>\n<p>24 hours a day, 7 days a week<br \/>\n(closed major holidays)<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row disable_element=&#8221;yes&#8221; center_row=&#8221;yes&#8221; el_id=&#8221;oep-and-sep-where-to-submit&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]\n<hr \/>\n<h2>Where to submit your forms and proof<\/h2>\n[\/vc_column_text][vc_row_inner remove_bottom_col_margin=&#8221;true&#8221;][vc_column_inner][vc_column_text css=&#8221;&#8221;]<strong>By email (preferred)<\/strong><\/p>\n<p><strong><a href=\"mailto:CHC-Applications@kp.org\" target=\"_blank\" rel=\"noopener\">CHC-Applications@kp.org<\/a><\/strong><\/p>\n<p><strong>By mail<\/strong><\/p>\n<p>Kaiser Foundation Health Plan, Inc.<br \/>\nCalifornia Service Center<br \/>\nP.O. Box 939095<br \/>\nSan Diego, CA 92193-9095<\/p>\n<p><strong>By fax<\/strong><\/p>\n<p>1-855-355-5334<\/p>\n<p>Note: Sending your forms to us does not guarantee that you will be approved for CHCP. We may ask you for more information to determine your eligibility.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row center_row=&#8221;yes&#8221; el_id=&#8221;oep-and-sep-when-youll-hear-from-us&#8221;][vc_column][vc_row_inner remove_bottom_col_margin=&#8221;true&#8221;][vc_column_inner][\/vc_column_inner][\/vc_row_inner][vc_column_text css=&#8221;&#8221;]\n<hr \/>\n<h2>When you\u2019ll hear from us<\/h2>\n<p>Submitted applications are processed in order of receipt. We\u2019ll let you know if we can include you in CHCP after we receive and review your completed forms and proof of income.<\/p>\n<p>*Continued eligibility for CHCP 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.[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>You can apply for CHCP during the open enrollment period, which runs from November 1, 2025, to January 31, 2026.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-314","page","type-page","status-publish","hentry","entry","no-media"],"_links":{"self":[{"href":"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-json\/wp\/v2\/pages\/314","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-json\/wp\/v2\/comments?post=314"}],"version-history":[{"count":0,"href":"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-json\/wp\/v2\/pages\/314\/revisions"}],"wp:attachment":[{"href":"https:\/\/charitablehealth.kaiserpermanente.org\/california\/wp-json\/wp\/v2\/media?parent=314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}