American Indian or Alaska Native Documentation
If Covered California asked you to confirm your American Indian or Alaska Native status, submit a copy of one accepted document.
Documents You Can Submit
Submit a copy of one of the following.
Tribal Enrollment or Membership Documents
- Tribal enrollment or membership card
- Enrollment or membership document from a federally recognized tribe or the Bureau of Indian Affairs
- Must be on tribal letterhead or an enrollment or membership card that contains the tribal seal and/or an official signature
Alaska Native Shareholder Documents
Document acknowledging shareholder status, issued by an Alaska Native village or tribe, or an Alaska Native Corporation Settlement Act (ANCSA) regional or village corporation
Other Accepted Documents
- I-872 American Indian Card (Texas and Oklahoma Kickapoo American and Mexican members)
- Certificate of Degree of Indian Blood (CDIB) issued by the Bureau of Indian Affairs or a tribe, if the CDIB includes tribal enrollment information
- Letter from the U.S. Department of Health and Human Services (HHS) granting a tribal exemption based on tribal membership or Alaska Native shareholder status
Ready to submit your document?
Follow the instructions in your Covered California account or eligibility notice to submit your document online, by fax or by mail.
Related Pages
Find more resources about documents, eligibility and health insurance options for American Indians and Alaska Natives.