California Choice

At┬áCalifornia Choice, we understand the unique needs of small businesses. As the only Small Group Private Exchange in California, our goal is to provide great benefits, simple administration, and the best customer service, year-round, to all our customers. We’ve worked with brokers, small business owners, and employees for more than 17 years and we love what we do.

Provider Finder

Form Name Effective Date Download Form
Changes to Group Policy
Download
Common Ownership Statement
01/01/2017 Download
Employee Termination Notification form
Download
Employer Application
01/01/2018 Download
Employer Application
04/01/2017 Download
Employer Dental Application
07/01/2017 Download
Employer Administrative Guide
07/01/2017 Download
Employer Program Guide
04/01/2017 Download
Employer Voluntary Vision App
Download
Employer Voluntary Dental 3000
Download
Employer Recertification Form
Download
Exception Request Form
Download
Group Size Attestation
01/01/2017 Download
Employer Group Contact Change
Download
Employer Change Request Form
01/01/2018 Download
Employer Change Request Form
04/01/2017 Download
Employer Buy-Up Dental Application
Download
Employer Buy-Up Dental Checklist
Download
Group COBRA Billing Contact
Download
Initial Payment Form
01/01/2017 Download
Owner Partner Statement Form
01/01/2017 Download
Termination Notification
Download
Prior Carrier Cancel Template
01/01/2017 Download
Self Funding Declaration
01/01/2017 Download
Small Group Case Submission Checklist
04/01/2017 Download
Form Name Effective Date Download Form
Employee Application
04/01/2017 Download
Employee Application
01/01/2017 Download
Employee Change Request Form
04/01/2017 Download
Employee Change Request Form
01/01/2017 Download
RX Claim Form - Aetna
Download
RX Claim Form - Anthem Express Scripts
Download
RX Claim Form - Health Net
Download
RX Claim Form - Sharp
Download
RX Claim Form - UHC
Download
RX by Mail Claim Form - Aetna
Download
RX by Mail Claim Form - Anthem
Download
RX by Mail Claim Form - Health Net
Download
RX by Mail Claim Form - Kaiser
Download
RX by Mail Claim Form - Sharp
Download
RX by Mail Claim Form - UHC
Download
Form Name Effective Date Download Form
Medical Plan Summaries
All Tiers Plan Summaries
10/01/2017 Summary
All Tiers Plan Summaries
04/01/2017 Summary
All Tiers Plan Summaries
01/01/2017 Summary
Platinum Plan Summary
10/01/2017 Summary
Platinum Plan Summary
04/01/2017 Summary
Platinum Plan Summary
01/01/2017 Summary
Platinum/Gold Plan Summary
10/01/2017 Summary
Platinum/Gold Plan Summary
04/01/2017 Summary
Platinum/Gold Plan Summary
01/01/2017 Summary
Gold Plan Summary
10/01/2017 Summary
Gold Plan Summary
04/01/2017 Summary
Gold Plan Summary
01/01/2017 Summary
Gold/Silver Plan Summary
10/01/2017 Summary
Gold/Silver Plan Summary
04/01/2017 Summary
Gold/Silver Plan Summary
01/01/2017 Summary
Silver Plan Summary
10/01/2017 Summary
Silver Plan Summary
04/01/2017 Summary
Silver Plan Summary
01/01/2017 Summary
Silver/Bronze Plan Summary
10/01/2017 Summary
Silver/Bronze Plan Summary
04/01/2017 Summary
Silver/Bronze Plan Summary
01/01/2017 Summary
Bronze Plan Summary
10/01/2017 Summary
Bronze Plan Summary
04/01/2017 Summary
Bronze Plan Summary
01/01/2017 Summary
Medical HMO SBCs
Anthem Blue Cross Platinum HMO A SBC
10/01/2017 SBC
Anthem Blue Cross Platinum HMO A SBC
07/01/2017 SBC
Health Net Platinum HMO A SBC
10/01/2017 SBC
Health Net Platinum HMO A SBC
08/01/2017 SBC
Health Net Platinum HMO A SBC
04/01/2017 SBC
Kaiser Permanente Platinum HMO A SBC
10/01/2017 SBC
Kaiser Permanente Platinum HMO A SBC
08/01/2017 SBC
Kaiser Permanente Platinum HMO A SBC
04/01/2017 SBC
Sharp Platinum HMO A SBC
10/01/2017 SBC
Sharp Platinum HMO A SBC
08/01/2017 SBC
Sharp Platinum HMO A SBC
04/01/2017 SBC
Sharp Platinum HMO B SBC
10/01/2017 SBC
Sharp Platinum HMO B SBC
08/01/2017 SBC
Sharp Platinum HMO B SBC
04/01/2017 SBC
Sharp Platinum HMO C SBC
10/01/2017 SBC
Sharp Platinum HMO C SBC
08/01/2017 SBC
Sharp Platinum HMO C SBC
04/01/2017 SBC
Sutter Health Plus Platinum HMO A SBC
10/01/2017 SBC
Sutter Health Plus Platinum HMO A SBC
08/01/2017 SBC
Sutter Health Plus Platinum HMO A SBC
04/01/2017 SBC
Sutter Health Plus Platinum HMO B SBC
10/01/2017 SBC
Sutter Health Plus Platinum HMO B SBC
08/01/2017 SBC
Sutter Health Plus Platinum HMO B SBC
04/01/2017 SBC
UnitedHealthCare Platinum HMO A SBC
10/01/2017 SBC
UnitedHealthCare Platinum HMO A SBC
08/01/2017 SBC
UnitedHealthCare Platinum HMO A SBC
04/01/2017 SBC
UnitedHealthCare Platinum HMO B SBC
10/01/2017 SBC
UnitedHealthCare Platinum HMO B SBC
08/01/2017 SBC
UnitedHealthCare Platinum HMO B SBC
04/01/2017 SBC
UnitedHealthCare Platinum HMO C SBC
10/01/2017 SBC
UnitedHealthCare Platinum HMO C SBC
08/01/2017 SBC
UnitedHealthCare Platinum HMO C SBC
04/01/2017 SBC
Western Health Advantage Platinum HMO A SBC
10/01/2017 SBC
Western Health Advantage Platinum HMO A SBC
08/01/2017 SBC
Western Health Advantage Platinum HMO A SBC
04/01/2017 SBC
Western Health Advantage Platinum HMO B SBC
10/01/2017 SBC
Western Health Advantage Platinum HMO B SBC
08/01/2017 SBC
Western Health Advantage Platinum HMO B SBC
04/01/2017 SBC
Anthem Blue Cross Gold HMO A SBC
10/01/2017 SBC
Anthem Blue Cross Gold HMO A SBC
07/01/2017 SBC
Health Net Gold HMO A SBC
10/01/2017 SBC
Health Net Gold HMO A SBC
08/01/2017 SBC
Health Net Gold HMO A SBC
04/01/2017 SBC
Health Net Gold HMO B SBC
10/01/2017 SBC
Health Net Gold HMO B SBC
08/01/2017 SBC
Health Net Gold HMO B SBC
04/01/2017 SBC
Health Net Gold HSP A SBC
10/01/2017 SBC
Health Net Gold HSP A SBC
08/01/2017 SBC
Health Net Gold HSP A SBC
04/01/2017 SBC
Kaiser Permanente Gold HMO A SBC
10/01/2017 SBC
Kaiser Permanente Gold HMO A SBC
08/01/2017 SBC
Kaiser Permanente Gold HMO A SBC
04/01/2017 SBC
Kaiser Permanente Gold HMO B SBC
10/01/2017 SBC
Kaiser Permanente Gold HMO B SBC
08/01/2017 SBC
Kaiser Permanente Gold HMO B SBC
04/01/2017 SBC
Sharp Gold HMO A SBC
10/01/2017 SBC
Sharp Gold HMO A SBC
08/01/2017 SBC
Sharp Gold HMO A SBC
04/01/2017 SBC
Sharp Gold HMO B SBC
10/01/2017 SBC
Sharp Gold HMO B SBC
08/01/2017 SBC
Sharp Gold HMO B SBC
04/01/2017 SBC
Sharp Gold HMO C SBC
10/01/2017 SBC
Sharp Gold HMO C SBC
08/01/2017 SBC
Sharp Gold HMO C SBC
04/01/2017 SBC
Sutter Health Plus Gold HMO A SBC
10/01/2017 SBC
Sutter Health Plus Gold HMO A SBC
08/01/2017 SBC
Sutter Health Plus Gold HMO A SBC
04/01/2017 SBC
Sutter Health Plus Gold HMO B SBC
10/01/2017 SBC
Sutter Health Plus Gold HMO B SBC
08/01/2017 SBC
Sutter Health Plus Gold HMO B SBC
04/01/2017 SBC
UnitedHealthCare Gold HMO A SBC
10/01/2017 SBC
UnitedHealthCare Gold HMO A SBC
08/01/2017 SBC
UnitedHealthCare Gold HMO A SBC
04/01/2017 SBC
UnitedHealthCare Gold HMO B SBC
10/01/2017 SBC
UnitedHealthCare Gold HMO B SBC
08/01/2017 SBC
UnitedHealthCare Gold HMO B SBC
04/01/2017 SBC
UnitedHealthCare Gold HMO C SBC
10/01/2017 SBC
UnitedHealthCare Gold HMO C SBC
08/01/2017 SBC
UnitedHealthCare Gold HMO C SBC
04/01/2017 SBC
Western Health Advantage Gold HMO A SBC
10/01/2017 SBC
Western Health Advantage Gold HMO A SBC
08/01/2017 SBC
Western Health Advantage Gold HMO A SBC
04/01/2017 SBC
Western Health Advantage Gold HMO B SBC
10/01/2017 SBC
Western Health Advantage Gold HMO B SBC
08/01/2017 SBC
Western Health Advantage Gold HMO B SBC
04/01/2017 SBC
Western Health Advantage Gold HMO C SBC
10/01/2017 SBC
Western Health Advantage Gold HMO C SBC
08/01/2017 SBC
Western Health Advantage Gold HMO C SBC
04/01/2017 SBC
Western Health Advantage Gold HMO D SBC
10/01/2017 SBC
Western Health Advantage Gold HMO D SBC
08/01/2017 SBC
Western Health Advantage Gold HMO D SBC
04/01/2017 SBC
Anthem Blue Cross Silver HMO A SBC
10/01/2017 SBC
Anthem Blue Cross Silver HMO A SBC
07/01/2017 SBC
Health Net Silver HSP A SBC
10/01/2017 SBC
Health Net Silver HSP A SBC
08/01/2017 SBC
Health Net Silver HSP A SBC
04/01/2017 SBC
Kaiser Permanente Silver HMO B SBC
10/01/2017 SBC
Kaiser Permanente Silver HMO B SBC
07/01/2017 SBC
Kaiser Permanente Silver HMO B SBC
04/01/2017 SBC
Kaiser Permanente Silver HMO C SBC
10/01/2017 SBC
Kaiser Permanente Silver HMO C SBC
08/01/2017 SBC
Kaiser Permanente Silver HMO C SBC
04/01/2017 SBC
Kaiser Permanente Silver HMO D SBC
10/01/2017 SBC
Kaiser Permanente Silver HMO D SBC
08/01/2017 SBC
Kaiser Permanente Silver HMO D SBC
04/01/2017 SBC
Sharp Silver HMO A SBC
10/01/2017 SBC
Sharp Silver HMO A SBC
08/01/2017 SBC
Sharp Silver HMO A SBC
04/01/2017 SBC
Sharp Silver HMO B SBC
10/01/2017 SBC
Sharp Silver HMO B SBC
08/01/2017 SBC
Sharp Silver HMO B SBC
04/01/2017 SBC
Sharp Silver HMO C SBC
10/01/2017 SBC
Sharp Silver HMO C SBC
08/01/2017 SBC
Sharp Silver HMO C SBC
04/01/2017 SBC
Sutter Health Plus Silver HMO B SBC
10/01/2017 SBC
Sutter Health Plus Silver HMO B SBC
08/01/2017 SBC
Sutter Health Plus Silver HMO B SBC
04/01/2017 SBC
Sutter Health Plus Silver HMO C SBC
10/01/2017 SBC
Sutter Health Plus Silver HMO C SBC
08/01/2017 SBC
Sutter Health Plus Silver HMO C SBC
04/01/2017 SBC
UnitedHealthCare Silver HMO A SBC
10/01/2017 SBC
UnitedHealthCare Silver HMO A SBC
08/01/2017 SBC
UnitedHealthCare Silver HMO A SBC
04/01/2017 SBC
UnitedHealthCare Silver HMO B SBC
10/01/2017 SBC
UnitedHealthCare Silver HMO B SBC
08/01/2017 SBC
UnitedHealthCare Silver HMO B SBC
04/01/2017 SBC
UnitedHealthCare Silver HMO C SBC
10/01/2017 SBC
UnitedHealthCare Silver HMO C SBC
08/01/2017 SBC
UnitedHealthCare Silver HMO C SBC
04/01/2017 SBC
UnitedHealthCare Silver HMO D SBC
10/01/2017 SBC
UnitedHealthCare Silver HMO D SBC
08/01/2017 SBC
UnitedHealthCare Silver HMO D SBC
04/01/2017 SBC
Western Health Advantage Silver HMO A SBC
10/01/2017 SBC
Western Health Advantage Silver HMO A SBC
08/01/2017 SBC
Western Health Advantage Silver HMO A SBC
04/01/2017 SBC
Western Health Advantage Silver HMO B SBC
10/01/2017 SBC
Western Health Advantage Silver HMO B SBC
08/01/2017 SBC
Western Health Advantage Silver HMO B SBC
04/01/2017 SBC
Western Health Advantage Silver HMO C SBC
10/01/2017 SBC
Western Health Advantage Silver HMO C SBC
08/01/2017 SBC
Western Health Advantage Silver HMO C SBC
04/01/2017 SBC
Health Net Bronze HSP A SBC
10/01/2017 SBC
Health Net Bronze HSP A SBC
08/01/2017 SBC
Health Net Bronze HSP A SBC
04/01/2017 SBC
Kaiser Permanente Bronze HMO B SBC
10/01/2017 SBC
Kaiser Permanente Bronze HMO B SBC
08/01/2017 SBC
Kaiser Permanente Bronze HMO B SBC
04/01/2017 SBC
Kaiser Permanente Bronze HMO C SBC
10/01/2017 SBC
Kaiser Permanente Bronze HMO C SBC
08/01/2017 SBC
Kaiser Permanente Bronze HMO C SBC
04/01/2017 SBC
Sharp Bronze HMO A SBC
10/01/2017 SBC
Sharp Bronze HMO A SBC
08/01/2017 SBC
Sharp Bronze HMO A SBC
04/01/2017 SBC
Sharp Bronze HMO B SBC
10/01/2017 SBC
Sharp Bronze HMO B SBC
08/01/2017 SBC
Sharp Bronze HMO B SBC
04/01/2017 SBC
Sharp Bronze HMO D SBC
10/01/2017 SBC
Sharp Bronze HMO D SBC
08/01/2017 SBC
Sharp Bronze HMO D SBC
04/01/2017 SBC
Sutter Health Plus Bronze HMO A SBC
10/01/2017 SBC
Sutter Health Plus Bronze HMO A SBC
08/01/2017 SBC
Sutter Health Plus Bronze HMO A SBC
04/01/2017 SBC
Sutter Health Plus Bronze HMO B SBC
10/01/2017 SBC
Sutter Health Plus Bronze HMO B SBC
08/01/2017 SBC
Sutter Health Plus Bronze HMO B SBC
04/01/2017 SBC
UnitedHealthCare Bronze HMO B SBC
10/01/2017 SBC
UnitedHealthCare Bronze HMO B SBC
08/01/2017 SBC
UnitedHealthCare Bronze HMO B SBC
04/01/2017 SBC
UnitedHealthCare Bronze HMO C SBC
10/01/2017 SBC
UnitedHealthCare Bronze HMO C SBC
08/01/2017 SBC
UnitedHealthCare Bronze HMO C SBC
04/01/2017 SBC
Western Health Advantage Bronze HMO B SBC
10/01/2017 SBC
Western Health Advantage Bronze HMO B SBC
08/01/2017 SBC
Western Health Advantage Bronze HMO B SBC
04/01/2017 SBC
Western Health Advantage Bronze HMO C SBC
10/01/2017 SBC
Western Health Advantage Bronze HMO C SBC
08/01/2017 SBC
Western Health Advantage Bronze HMO C SBC
04/01/2017 SBC
Western Health Advantage Bronze HMO D SBC
10/01/2017 SBC
Western Health Advantage Bronze HMO D SBC
08/01/2017 SBC
Western Health Advantage Bronze HMO D SBC
04/01/2017 SBC
Medical PPO SBCs
SBC
Anthem Blue Cross Gold PPO A SBC
10/01/2017 SBC
Anthem Blue Cross Gold PPO A SBC
07/01/2017 SBC
Anthem Blue Cross Gold PPO B SBC
10/01/2017 SBC
Anthem Blue Cross Gold PPO B SBC
07/01/2017 SBC
Anthem Blue Cross Gold PPO C SBC
10/01/2017 SBC
Anthem Blue Cross Gold PPO C SBC
07/01/2017 SBC
Anthem Blue Cross Gold PPO D SBC
10/01/2017 SBC
Anthem Blue Cross Gold PPO D SBC
07/01/2017 SBC
Anthem Blue Cross Silver PPO A SBC
10/01/2017 SBC
Anthem Blue Cross Silver PPO A SBC
07/01/2017 SBC
Anthem Blue Cross Silver PPO B SBC
10/01/2017 SBC
Anthem Blue Cross Silver PPO B SBC
07/01/2017 SBC
Anthem Blue Cross Silver EPO A SBC
10/01/2017 SBC
Anthem Blue Cross Silver EPO A SBC
07/01/2017 SBC
Anthem Blue Cross Silver EPO B SBC
10/01/2017 SBC
Anthem Blue Cross Silver EPO B SBC
07/01/2017 SBC
Anthem Blue Cross Bronze EPO A SBC
10/01/2017 SBC
Anthem Blue Cross Bronze EPO A SBC
07/01/2017 SBC
Anthem Blue Cross Bronze EPO B SBC
10/01/2017 SBC
Anthem Blue Cross Bronze EPO B SBC
07/01/2017 SBC

SBC

SBC

SBC
Form Name Effective Date Download Form
Anthem Adv PPO Tier Hospital Network Advantage PPO
Download
Schedule Of Commissions
01/01/2018 Download
Video Name Watch Video
Intro to CaliforniaChoice Watch Video
CaliforniaChoice What is Defined Contribution? Watch Video
CaliforniaChoice Health Insurance Plans Watch Video
CaliforniaChoice Ease of Administration Watch Video
CaliforniaChoice Additional Plans and Perks Watch Video
CaliforniaChoice Working with Health Insurance Brokers Watch Video
Form Name Effective Date Download Form
Carrier Contacts
Download