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How to Apply for Community Health Care Program

Open enrollment for 2023 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 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:

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

Where to submit your forms and proof:

By email: (preferred)

By Mail:
Kaiser Foundation Health Plan, Inc.
California Service Center
P.O. Box 23127
San Diego, CA 92193-3127

By fax:

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 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 Community Health Care Program’s eligibility requirements at any time.

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