Covered California

Covered California Alameda

Steve Valencia is your Certified Covered California agent. He can assist with new enrollments into the California Health Benefit Exchange, Covered California. I invite you to call me regarding pricing, plan options, coverage benefits and more.  Call today at 209-223-1870.

For Small Group click here.

Covered California – Apply for a free quote or consultation

Covered California Individual and Family

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  • Request for quote or consultation

    Please note that by completing this form you are agreeing to the term of service. Also, you give permission for us to contact you. All information provide is confidential. Also, at anytime you may contact our office at 209 223-1870. Finally, this form IS NOT meant for you if you already have insurance through another agent. This is for new business only.
  • First NameLast NameDate of BirthSexInclude or Exclude from quote 
    Please list all household members
  • Household information

    The following questions apply to all individuals who permanently reside in the household regardless of weather they will be applying for coverage or not.
  • Include all permanent residence
  • How Many will we be quoting?

    By submitting this for you hereby agree and understand that coverage "IS NOT" bound. This form is for a quote only and an agent will be in contact with you to discuss your options.
  • Sorry your form cannot be submitted

 

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