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How to Apply for the Community Health Access Program – Important Deadlines

Open enrollment for 2021 has ended, but you can add an eligible dependent to your coverage by completing an Account Change Form.

As a reminder: you can add an eligible dependent to your coverage, such as if you get married, give birth, or adopt a child. For more information please email  MAS-CharitableHealthCare@kp.org.

You can add an eligible dependent to your coverage by completing an Account Change Form

Submit the form and any required supporting documentation:

By email:

CHC-Applications@kp.org

By mail:

California Service Center
Attn: CHC
P.O. Box 939095
San Diego, CA 92193-9095

By Fax:

855-355-5334

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

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