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© 2003-2023 CaliforniaChoice | A CHOICE Administrators Program
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Effective Date: 01/01/2022 - 03/01/2023
Effective Date: 04/01/2023 - 12/01/2023
To assist Employers with the healthcare administration of new hires, terminations, benefit and policy changes, etc
Effective Date: 01/01/2023 - 03/01/2023
Effective Date: 04/01/2023 - 06/01/2023
Effective Date: 07/01/2023 - 12/01/2023
Effective Date: 01/01/2023 - 03/01/2023
Effective Date: 04/01/2023 - 06/01/2023
*FILLABLE* Must be completed by broker to sell CaliforniaChoice program. Commissions will not be paid until received.
*FILLABLE* Must be completed by broker to sell CaliforniaChoice program. Commissions will not be paid until received.
HIPAA compliant agent agreement required for all brokers
Alert: Mandatory: we cannot release any employee information to brokers without this completed form on file.
Effective Date: 01/01/2023 - 03/01/2023
Effective Date: 04/01/2023 - 06/01/2023
Existing members should log in to view their coverage specific Summary of Benefits and Coverages (SBC) and Evidence of Coverage (EOC). Existing groups must log in to view their Group Service Agreement (GSA).