Existing Covered California users? Get help when you need it most: right now!

Get free support and expert help from one of our certified enrollers. Send us your contact information and within 20 minutes, you’ll get free one-on-one help selecting a plan and signing up.

Please fill in your contact information below.

ALL FIELDS ARE REQUIRED

First name:

Last name:

Cell Phone:

Email:

Zip Code:

City:

Date of Birth:

Case Number:

Here’s the fine print: A response time of 20 minutes or less is expected during normal business hours (9 a.m. to 5 p.m.). After those hours, and on weekends and holidays, callbacks are based on certified enroller availability, and may occur the next business day.

A Certified Enroller is an expert advisor who is a Covered California Certified Insurance Agent, Certified Application Counselor or a Certified Enrollment Counselor that provides enrollment assistance to consumers.

By sending us your contact information, you understand that it will be transmitted to a certified enroller who will contact you to provide enrollment assistance. When you submit this form, you agree to receive phone calls, texts or emails regarding health insurance from the certified enroller who receives your contact information. You may receive such calls or texts even if you are on the National Do Not Call Registry. Such calls or texts may use an automated telephone dialing system, but you will speak to a live certified enroller if you opt to receive a phone call through Help On Demand. Your phone carrier's normal rates for receiving calls or texts apply.

This is not a condition of obtaining health insurance. Do not continue with this form if you do not agree to these conditions.

Covered CA