Income Attestation Form 2024 Plan Summary Trio HMO Payment MEC

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Starts 10/1/23 thru 1/31/24

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CoveredCA Renewal FORM

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Serving ALL of California Since 1998
949-713-7222

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Existing CC Clients

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Open Enrollment 2024

Open Enrollment 2022

Message / Notes (How can we help?):

IMPORTANT!!
UNDERSTANDING PASSIVE RENEWAL
It's easy! If you DO NOTHING, and just continue to pay your new January premium amount, your policy AUTOMATICALLY RENEWS! That's it.

If you want to discuss your options prior to letting your policy renew, then there are some deadlines:

12/27/22 - the deadline to make changes for 1/1/23.
01/31/23 - the deadline to make changes for 2/1/23.
**TBD** - the deadline to make changes for 3/1/23.

Nothing is set in stone until 1/31/23, so if you have a change of heart, then you can change plans, carriers, etc at anytime during open enrollment.

no additional fee to use us!

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CLIENTS

Is your policy through the Covered California Exchange? *

Which Insurance Carrier are you Currently with?: *

OFF EXCHANGE: Nothing to do with Covered CA

Check all that apply: *

I am an existing client

Please contact me for my annual review

No changes

I want to keep my existing plan as is

Meet Marc Harris
Your Local Certified Insurance Agent

I have been helping clients since 1998 and was
one of the first agents to get certified with
Covered California and the CoveredCA.com
Exchange. We launched OE15.com to make it easy for clients like you evaluate all of your opportunities, and enroll in the policy with the best value. STOP waiting on hold for hours and START getting the service you deserve. Ready to renew your policy? We can help you today! Complete our short form and someone will contact you.

Certified Insurance Agent: Marc Harris
Covered California Agent ID#: 2000016310
Date Certified: 10/29/2013
Certification #: 5000003622
PDF Download:Covered California Certificates
website: www.OE15.com
CA Insurance License #: 0C45052

I understand what a "PASSIVE RENEWAL" is (SEE YELLOW BOX on Right) *

I understand PASSIVE RENEWAL.

Thank you for your business! It's time for your Annual Review. Please complete the form below and we will contact you as soon as possible...please be patient, we will be in touch.

                                                                             obamacareOC.com
           CLIENT ANNUAL REVIEW REQUEST
                   ***** OFF EXCHANGE *****

Current Address: *

Name (First and Last): *

If you contact us and get voicemail, please leave a message and be patient. Someone will return your call as soon as possible. By clicking "Submit" you authorize us to help with your current health insurance renewal.

Phone Number: *