Slide backgroundAffordable
We’re Here to Help!
Do you need help…
  • Having problems logging into your Covered California account?

  • Want to change health plans?

  • Haven’t received a bill from your health plan?

  • Is your bill incorrect?

  • Is your name or other information spelled wrong?

  • Need to report a change of income or household?

Don’t waste your time sitting on hold! Let us know how we can help you and complete the election form below – and we’ll get the issue resolved within 72 business hours. Plus you’ll receive on-going service, support and care whenever you need it.

  • Covered California Certified Insurance Agent Election Form

    By checking the box below I authorize Covered California and my insurance carrier to delegate/name as my agent of record below for our health insurance policy, effective immediately. I understand there is NO COST for this service and that my premiums, policy, benefits and coverage will remain the same. I further understand that this authorization is valid only as long as I completely satisfied with the service provided.
  • Please complete the following:

  • Please sign your name with the electronic pen

    Healthy Halo Insurance Services, Inc. License Number: 0F76504. 515 S. Flower Street, 36th Floor, Los Angeles, CA 90071. Tax ID Number: 61-1531868

Built into the premiums you pay each month is a fee to pay for the services of a certified insurance agent, to provide on-going service, support and guidance each and every month you pay your premiums. You pay this fee every month – whether or not you actually get the benefits of having a certified agent on your side.


What Covered California doesn’t tell you when you enroll online or over the phone, is that you have the right to elect a servicing insurance agent that can help you with your Covered California account and your health plan – at no additional cost, charge or fee. You are already paying for the services of a certified agent, you just aren’t receiving them!


If you are having any problems, issues or concerns about your Covered California account or health plan, simply complete the form below to elect us as your Certified Insurance Agent – and let us fix any problems you are having – now and in the future – at no cost, charge or fee to you ever.