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Welcome Employers and Administrators

Thank you for choosing CCHP to serve the health care needs of your valued employees. We appreciate your business!

The following links will take you to information and forms you may find useful.

• Employee Enrollment Form (English) (PDF)*
• Member Change Form (English) (PDF)*
• Group Plan A to E Benefit Matrix (English) (Chinese) (PDF)*
• List of Covered Drugs (Formulary) (English and Chinese) (PDF)*
• Pharmacy Directory (English and Chinese) (PDF)*
• Provider Directory

Dental Plan Rider (PDF):

• Dental Plan Rates
• Dental Plan Summary of Benefits
• Dental Plan Dentist
• Dental Plan Group Enrollment Application
• Dental Plan Employee Enrollment Application

Vision Plan Rider (PDF):

• Vision Plan Rates & Summary of Benefit
• Vision Plan Doctor Directory
• Vision Plan Group Enrollment Application
• Vision Plan Employee Enrollment Application

Have additional questions? Need further information?
Call CCHP's Marketing Department at 415-955-8800.

If your CCHP member employees have questions about or need assistance with their coverage, please direct them to CCHP Member Services. We're here to help.

*Note: To view these documents, you'll need Adobe Acrobat,
which you can download here.