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ASKCCSB: How Groups Can Add an Authorized Representative

Covered California for Small Business (CCSB) is committed to providing employers with the tools and resources necessary to manage their employees' benefits. This is why they created ASKCCSB to answer questions that will make managing employees health plans a breeze.


CCSB understands that running a Small Business demands a lot of a group's time. Which is why they have outlined how to add an Authorized Representative to help employers manage their account:


What is an Authorized Representative?

An Authorized Representative is a trusted individual who the group chooses to act on the group's behalf to make updates and/or changes to the benefits plan; this can include the group's Insurance Agent or an Employee.


How can a group add an Authorized Representative?

If they did not add an Authorized Representative upon their group's signup, they can submit this update through a CCSB Employer Change Form. Visit the "Applications and Forms" page on the CCSB website to download an Employer Change Form. Select the appropriate effective period for the Change Form and click the link to download and print the Change Form.


At the top of page two of the Employer Change Form, they will see the Primary Contact section with the Authorized Representative section directly underneath. 


They will fill in the required first name, last name, and phone number of the Authorized Representative they are requesting to be added to their account. Providing an e-mail address is recommended but optional.


Once completed, they will sign and date the Employer Change Form and submit it to CCSB via the methods listed below:

  • Upload and submit in the MyCCSB portal
  • Fax completed form to (949) 809-3264 OR
  • Mail to Covered California at: P.O. Box 7010, Newport Beach, CA 92658


For questions, please contact a member of your B&P Sales Team - 888.722.3373.