Documents published by Covered California to assist in navigating the enrollment application and eligibility for the Affordable Care Act monthly Advance Premium Tax Credits.
2021 Documents for Enrollment and Renewal of Covered California
- Announcement CoveredCA-2022-Plans-and-Rates
- CoveredCA Budget-Book_FY_2021-22_Proposed
- 2021 Income Table ARP CoveredCa_March Revised
- 2020_21 Income Federal Poverty Chart Revised
- 2021 Renewal_Job_Aid_Final
- 2021 Renewal_Quick_Guide_Final
- 2021-Health-Benefits-table
- 2021_Covered_California_Plan_Information_for_Enrollers
- Adult-Dental-Benefits-2021-comparative
- Adult Dental Plan Renewal Letter NOD12d_English
- Attestation-Form-Income-No-Documentation-Available-English
- Conditional_Eligibitly_Quick_Guide_FINAL
- Consent_for_Verification_Quick_Guide_Final
- Consent to Qualify for Financial Help CCAN05
- Countable_Sources_Income
- CoveredCA_Password_Reset_Quick_Job_Aid
- Delagation Agent_Quick_Guide_Final
- Delegation_Change_Policy_FINAL
- Health Plan Renewal Letter NOD12a_English
- Income_Section_Final
- Medi-Cal_Consumers_FAQ_Final
- Medi_Cal Conference_2020_Presentation
- Sharing Ministry_Disclosure_and_Product_Comparison_Table
- Shop_and_Compare_Job_Aid_Final
- Vision EyeMed_Summary_of_Benefits_CoveredCA
- Vision_Quick_Guide_Final
2020 Covered California Enrollment & Eligibility Documents
- 1095A_FTB3895
- Apply_Change_SEP_1095A
- Cal Health Ins Penalty
- Cal Premium Subsidy
- Dental Adult Family
- Renew Coverage
- 2020 California Health Plan Basics Slides
- Conditional Eligibility Guidance Verification Documents
- Consent for Verifcation Guide
- Covid_19 Covered California Special Enrollment Period
- How to Delegate an Agent in Covered California
- Medicare_Attestation_Form
- New_Special_Enrollment_State_Subsidy_and_Individual_Mandate_QLE_Quick_Guide_Final
- Notification Of Deceased By An Enrolled Member
- Revised Covered California Medi-Cal Income Table for 2020
- Special_Enrollment_Period_for_State_Subsidy_or_Penalty_Fact_Sheet
- X_2020 Subsidy Eligibility Income Chart Covered California 9_2019
