Skip to Main Content
Back to homepage
Agents
Covered California Covered California Logo
Get a Quote
Covered California Covered California Logo
Get a Quote
  1. Home
  2. Small Business
  3. How to Apply

How to Apply

The easiest way to enroll your business in health insurance is by connecting with our dedicated support team. We'll guide you through the process, collecting essential information about your employees, understanding your business needs and evaluating your financial requirements. This personalized approach ensures that you get the most suitable coverage for your business, and we're here to answer any questions you may have along the way.

Step 1
Check Your Eligibility

Ensure your business meets the eligibility criteria by having 100 or fewer full-time-equivalent employees, at least one employee receiving a W-2, and the majority of your eligible employees living in California.

Step 2
Get a Quote
Connect with our support team to receive expert guidance tailored to your business needs. They will reach out to gather more details and create a personalized quote specifically for you.
Get a Quote
Step 3
Finalize Your Enrollment
If you approve your personalized quote, our support team will work closely with you to finalize the enrollment process. We'll guide you through every step to ensure you get the best health insurance for your business and employees.

What documents and information do I need to apply?

  • Employer’s name, as reported to the California Employment Development Department.
  • Federal Employer Identification Number (FEIN) and State Employer Identification Number (SEIN).
  • A copy of the employer’s local business license.
  • A DE-9C reconciled by the employer.
  • The total number of full-time employees.
  • The total number of part-time employees working 20 to 29 hours per week (if offering part-time employees’ coverage).
  • Employee roster, including addresses, hire dates, dates of birth, and Social Security numbers or tax identification numbers.
  • Dependent information (if offering coverage), including dates of birth.

Other ways to apply

By Mail

Mail your completed application, including all employee applications and other required documents, to:
Covered California for Small Business
P.O. Box 7010
Newport Beach, CA 92658

By Email

Email your completed application, including all employee applications and other required documents, to smallbusiness@covered.ca.gov.

English

Employer Application PDF

Spanish

Employer Application (Spanish) PDF

With the Help of a Local Agent

Get free assistance from our certified local agents who are deeply knowledgeable about CCSB. As partners of Covered California, they offer expert guidance to make your enrollment process smooth and stress-free, ensuring you find the best coverage for your business needs.

Find an Agent