Selling to the Individual Market

Learn About Covered California

Health and Dental Plans

View plan booklets and health benefit tables for Covered California Individual and Family Plans, formularies, and provider directory.

Health, Dental, and Vision Plans Websites

Questions about premium bills, payment due dates and costs associated with doctor visits or other services should be directed to the health insurance plan, dental plan, and vision plan. They can also answer questions about doctor and hospital networks and options and help consumers choose a provider. The phone numbers and websites of the health insurance companies, dental companies, and vision companies working with Covered California are listed here.

Learning Management System (LMS)

An agent with Covered California can access Covered California’s Learning Management System at any time to review certification courses as a refresher for the following:

Introduction to the Affordable Care Act
Introduction to Health insurance
Covered California for Small Business
Understanding Your Agent Role
Eligibility for Individuals and Families
Plan Options
Privacy, Security and Compliance
CalHEERS

Online Application (CalHEERS) Login

Access Covered California’s Online Application (CalHEERS) login page here.

Enrollment Partner Tool Kit

To make the enrollment process as simple as possible, access the Enrollment Partner Tool Kit which includes important information and resources agents need to handle a variety of scenarios and quickly identify a consumer’s needs. The following Tool Kits are found within the Enrollment Partner Tool Kit:

Special Enrollment
Covered California Health and Dental Plans
Webinars & Briefings
Agent Extranet
Subsidy-Eligible Maps
Storefront
Small Business

Resources Available for Agents

Agent Extranet

The Agent Extranet, found outside of the Individual Marketplace online application (CalHEERS), is where Covered California uploads important reports, such as your weekly Book of Business, and monthly Conditional Eligibility and Return Mail reports. Access the Agent Extranet here.

Delegation and Delegation Change Request Policy

Consumers can delegate their application to Certified Insurance Agents in the online application to assist them with the entire application process including filling out the application, submitting the application, making changes to cases, terminating cases, renewing coverage, selecting a plan, etc. To transfer an entire book of business or a partial book of business, use the Individual Marketplace Book of Business Transfer Form.

Privacy & Security

Personally Identifiable Information (PII) must remain secure and confidential in accordance with Covered California’s Security and Privacy policies as outlined in the agent agreement, including all applicable laws and regulations. It is the Agent’s responsibility to ensure that they handle this information in the appropriate manner. Remember that emails with consumer PII must be encrypted or secured.