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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Please email Contra Costa County Communications Director Kristi Jourdan at Kristi.Jourdan@contracostatv or call 925-313-1180 if you need assistance finding the right department or person.
Contra Costa Health Plan (CCHP) is a county-sponsored health-maintenance organization (or HMO) that provides managed care for more than 200,000 people in the county.
Covered California offers five health plans in Contra Costa and you may choose the plan that is best for you and/or your family. The five plans are Contra Costa Health Plan HMO, Kaiser HMO, Health Net PPO, Blue Cross PPO and Blue Shield PPO. When can I enroll in Covered California?
Contra Costa Health Plan (CCHP) is a county-sponsored health-maintenance organization (or HMO) that provides managed care for more than 200,000 people in the county.
Commercial health insurance describes any type of health coverage that is sold and administered by a private company rather than the government. Two of the most common types of commercial health insurance plans are preferred provider organizations (PPOs) and health maintenance organizations (HMOs).
Almost all Medi-Cal plans are "managed care plans" which means they function similar to an HMO. Medi-Cal Plans can be found in the Medi-Cal Managed Care Health Plan Directory. A managed care plan means you'll have a primary care physician, and they're the one person you'll see if you need medical care.