Enrollment Form
Click on your preferred language below to access our online enrollment form:
To download a digital version of our enrollment form, click on your preferred language below:
We offer competitive Medicare Advantage plans and provide comprehensive sales tools for motivated agents, who not only want to sell Medicare Advantage for their livelihood but want to improve the lives of their clients.
Note: If you are working with a General Agent (GA) or a Field Marketing Organization (FMO), please work with your upline to get contracted with Clever Care of Golden State so that your relationship with that agency is captured correctly.
Click on your preferred language below to access our online enrollment form:
To download a digital version of our enrollment form, click on your preferred language below:
Click here for guidelines on how to complete the online enrollment form.
Click on your preferred language below to access our online Scope of Appointment form:
Click on your preferred language below to download a copy of the 2021 Clever Care Longevity Plan Enrollment Kit:
Click on your preferred language below to download a copy of the 2021 Clever Care Balance Plan Enrollment Kit:
Click on your preferred language below to download a copy of our Summary of Benefits:
Click on your preferred language below to download a copy of our Summary of Benefits:
Click on your preferred language below to download a copy of our Evidence of Coverage:
Click on your preferred language below to download a copy of our Evidence of Coverage:
Click on your preferred language below to download a copy of the LIS Summary:
最近更新日期：10/01/2020 H7607_21_CM0028A_EN_M Accepted 09292020
福全健保是一項與聯邦醫療保險簽有合約的 HMO 計劃。投保福全健保需視續約情況而定。
8990 Westminster Blvd 3rd Fl.
Westminster, CA 92683
660 W Huntington Dr 2nd Fl.
Arcadia, CA 91007
10 月 1 日至 3 月 31 日：
每天上午 8 時至晚上 8 時（週末無休）
4 月 1 日至 9 月 30 日：
週一至週五上午 8 時至晚上 8 時
© 2021 保留所有權利。CLEVER CARE OF GOLDEN STATE, INC. 係 Clever Care Health Plan Inc. （福全健保）獨資子公司。
