How to Apply
Ready to offer health insurance to your employees? Here's how to get started with CCSB — from checking your eligibility to completing your enrollment, with free support available every step of the way.
Steps to Apply
Check your eligibility.
Confirm that your business meets the eligibility criteria before you apply. Your business generally needs 100 or fewer full-time-equivalent employees, at least one W-2 employee and a majority of eligible employees living in California.
Get a quote.
Get a quote to see your insurance options and costs. Share basic information about your business and a CCSB representative will reach out to gather more details and build a personalized quote.
Complete your enrollment.
Once you review your quote and choose your health insurance, our support team will work closely with you to finalize the enrollment process.
Ready to take the next step?
Get help with a quote and enrollment from the CCSB team or a licensed insurance agent.
What You Need to Apply
Gathering this information before you start can help speed up your application. You'll typically need:
- Your employer name, as reported to the California Employment Development Department
- Federal Employer Identification Number (FEIN)
- A copy of your local business license
- A DE-9C reconciled by the employer
- Total number of full-time employees
- Total number of part-time employees working 20 to 29 hours per week (if you plan to offer them insurance)
- Employee roster, including addresses, hire dates, dates of birth and Social Security numbers or tax identification numbers
- Dependent information, including dates of birth (if offering dependent insurance)
Other Ways to Apply
Download the Enrollment Application (PDF), complete it and submit by mail or email — or get free help from a local agent.
By Mail
Mail your completed employer application, employee applications and required documents to:
Covered California for Small Business
P.O. Box 7010
Newport Beach, CA 92658
By Email
Send your completed employer application, employee applications, and required documents to ccsbeligibility@covered.ca.gov.
With Help From an Agent
Find a local agent to get free help with your application and next steps.
Need more help?
You don't have to navigate enrollment alone. Covered California for Small Business offers free support through multiple channels — choose the option that works best for you.