This is a legal form that was released by the Covered California - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form CCFRM604?
A: Form CCFRM604 is the application for health insurance in California.
Q: Who can use form CCFRM604?
A: Form CCFRM604 can be used by individuals who want to apply for health insurance in California.
Q: What information is required on form CCFRM604?
A: Form CCFRM604 requires personal information, income details, and household information.
Q: What is the deadline for submitting form CCFRM604?
A: The deadline for submitting form CCFRM604 may vary, so it's best to check the instructions provided with the form.
Q: Can I apply for health insurance in California without using form CCFRM604?
A: No, form CCFRM604 is required for applying for health insurance in California.
Q: Are there any fees associated with submitting form CCFRM604?
A: No, there are no fees associated with submitting form CCFRM604.
Q: What happens after submitting form CCFRM604?
A: After submitting form CCFRM604, your application will be reviewed and you will be notified about your eligibility for health insurance in California.
Q: Is there any assistance available for filling out form CCFRM604?
A: Yes, you can receive assistance in filling out form CCFRM604 from the California Department of Health Care Services or certified enrollment counselors.
Form Details:
Download a fillable version of Form CCFRM604 by clicking the link below or browse more documents and templates provided by the Covered California.