Renew Your Covered California Health Plan | Fast & Free Help

Renew Your Covered California Plan

If you’re currently enrolled in a Covered California health plan, renewing on time is important to keep your coverage active and your financial assistance accurate. During renewal, Covered California reviews your income, household details, and plan eligibility to determine updated premium tax credits and plan options for the new year.

Use the form below to request renewal assistance. Once submitted, a licensed agent will review your information and contact you if anything is needed to complete your renewal.

Complete the form below to get started

Covered CA Renewal Form

Full name on file with Covered CA*

Email address on file with Covered CA*

*Home address on file with Covered CA*

City & Zip Code*

Phone number on file with Covered CA*

Date of Birth entered as XX/XX/XXXX*

Total # of household members on your tax return*

Projected annual income for all household members (AGI for all person on your tax form)*

Covered CA case number or Social Security Number (optional)

Current Insurance Carrier (Anthem, Blue Shield, Health Net, etc.)*

e-Sign - Enter your name to agree: "I would like to submit my Covered CA online renewal today"

Anything we should know? Adding or removing coverage? Any plan changes or updates to make?

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Authorization to Act as Your Broker of Record

By submitting this form, you authorize California Benefits Insurance Center to act as your authorized agent and broker of record for the purpose of assisting you with your Covered California account, including accessing information necessary to help retrieve your 1095-A tax form, provide enrollment or renewal assistance, and communicate with Covered California on your behalf as permitted by law. You understand that broker authorization may require additional verification through Covered California.

You also authorize California Benefits Insurance Center to contact you regarding your request by phone, email, or text message. Consent is not a condition of enrollment. We typically respond within one business day. If your request is urgent, please include your preferred contact method and best time to reach you.

Agency Disclosure

California Benefits Insurance Center is an independent insurance agency. Submission of this form does not guarantee coverage or enrollment. Coverage options, eligibility, and plan availability are subject to carrier underwriting and applicable enrollment periods.

California Benefits Insurance Center is an independent insurance agency. Submission of this form does not guarantee coverage or enrollment. Quotes and plan availability are subject to carrier underwriting, eligibility, and applicable enrollment periods.