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Paper Application

The Federal Application is a two part process. First you fill out the paper application and submit it. Then you will be contacted to let you know if you qualify for subsidies. Then you will be able to know your cost and select a plan.

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Until website issues have been resolved, Paper Applications are the fastest way to submit an ACA application.

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Mail your Application

Not sure where to send your application?

1) You can fax it to 310-765-4136.
2) You can scan and email it to or
3) You can mail it to us at:

21800 Burbank Blvd., Suite 325. Woodland Hills, CA 91380.

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Stuck in an application??? Call us and an authorized health insurance agent will assist you.

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