California Health Benefit Exchange

State of California

Official Website: https://hbex.coveredca.com/

The purpose of state health insurance exchanges is to make health insurance more affordable and easier to purchase for small business and individuals.

Forms & Documents

Browse all California Health Benefit Exchange government forms

21 - 40 of 52 forms

Form Title Topics
HEALTH CARE SHARING MINISTRIES POLICY AND PROCEDURES
HEALTH CARE SHARING MINISTRY CONSUMER ACKNOWLEDGEMENT AND FULL DISCLOSURE FORM
Individual Shared Responsibility FAQ Certified Enrollers
IN-PERSON ASSISTER PROCEDURE TASK GUIDE: VOTER REGISTRATION
Internal Revenue Service
IRS Form 1095-A Quick Guide Certified Enrollers
IRS Form 1095 & Form FTB 3895 Toolkit Certified Enrollers
IRS Forms 1095 – A, B, and C Quick Guide
March Briefing from Covered California
Navigator Engagement Webinar #4 February 13, 2020
PAYEE DATA RECORD
PAYEE DATA RECORD 204
Plan Management and Delivery System Reform Advisory Group Nomination Form 2016 (for 2017-2018 Term)
Public Comment Form
Qualified Dental Plan Application Plan Year 2019
Qualified Health Plan Certification Application Plan Year 2018 Individual Marketplace
Regulations Mailing List Request Form
Renewal
Request for Proposal for Document Imaging and Verification Solutions (RFP# 2016-19) Responses to Bidder Questions and Change Requirements
Request for Proposal RFP 2016-11 Form 700 Management System

Contact Information & Office Locations

1 contact point

Main Office

Phone numbers:
  • (800) 300-1506

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