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Get Hbex 411b 2018-2025

STATE OF CALIFORNIA HEALTH BENEFIT EXCHANGE/COVERED CALIFORNIA (Exchange/CC)NOTIFICATION OF DECEASED BY ENROLLED MEMBER HEX 411b (04/18)Notification of Deceased by an Enrolled Member Please complete.

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California Health Insurance Exchange. The ACA (Affordable Care Act) was meant to reduce health insurance costs so that more people could be insured. Low-income families who sign up through the California Healthcare Exchange can qualify for tax credits. These subsidies lower their monthly payment premiums.

Our goal is to make it simple and affordable for Californians to get health insurance. Covered California is a partnership of the California Health Benefit Exchange and the California Department of Health Care Services.

Please include copy of one the following documents: Death Certificate, Obituary, Medical Record, Power of Attorney, Proof of Executor or Proof of Estate. Attached Copy of Reporting Individual's Identifying Information. (If no identifying document is attached, your signature must be notarized.)

A household's size and gross income determines Covered California eligibility. This health insurance marketplace's subsidies are offered to low-income applicants. But what is low income in California? Covered California income limits are a household income of up to 400% of the Federal Poverty Level (FPL).

Covered Californiaâ„¢ | The Official Site of California's Health Insurance Marketplace. Individuals and Families. Children.

Online enrollment is only allowed on .CoveredCA.com.

Covered California is your state's Marketplace.

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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