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  • Californiachoice Employer Change Request Form ... - Superagent

Get Californiachoice Employer Change Request Form ... - Superagent

721 South Parker, Suite 200 Orange, CA 92868 (800) 558-8003 FAX (714) 558-8000 www.calchoice.com Employer Change Request Form Group Name ? CaliforniaChoice Group # A. CHANGE ADDRESS / PHONE / FAX.

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Employees who live outside of California can be covered on your group medical insurance plan, however, they can only enroll in a PPO plan.

For many individuals who enroll in Medi-Cal, there is no premium, no co-payment, and no out of pocket cost. Effective July 1, 2022, all monthly premiums were reduced to $0.00.​ In general, individuals in Medi-Cal will get the same health benefits available through Covered California at a lower cost.

For additional questions about eligibility, enrollment, COBRA plans, administrative or customer services issues, please call our Customer Service Center at 800-558-8003 Monday through Friday 8:00 am.

CaliforniaChoice® has offered a unique approach to small business health insurance since 1996. We package multiple health plans into one, easy to manage, small business solution. CaliforniaChoice isn't a traditional employee benefits program. We're a California Different way to do health care.

Employee Eligibility Eligible employees are permanent and actively working on average of 30+ hours per week over the course of a month, at the employer's regular place of business or, 20+ hours per normal workweek for at least 50% of the weeks in the previous calendar quarter.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232