Financial Reports

    Budget and Annual Reports

    Audited Financial Statement Reports

    Quarterly Reports

    Payment to Agency Reports – Form 801

    Financial Information about Covered California

    Pursuant to Title 45 Code of Federal Regulations § 155.205, Covered California (the Exchange), provides the following financial information:

    • The average costs of licensing and regulatory fees required by the Exchange are included in the monthly Participation Fees paid by the Qualified Health and Dental Plan Issuers (Contractor).

      • Individual Market Qualified Health and Dental Plan Issuers: The Participation Fee payable to the Exchange shall be equal to three-point-two-five (3.25) percent of the gross premium attributable to each Enrollee in Contractor’s Qualified Health and Dental Plans for each month of contract year 2023.
      • Small Business Market Qualified Health and Dental Plan Issuers: The Participation Fee payable to the Exchange shall be equal to five-point-two (5.2) percent of the gross premium attributable to each Enrollee in Contractor’s Qualified Health and Dental Plans for each month of contract year 2023.

    • Any other payments required by the Exchange:

      • Small Business Market Qualified Health and Dental Plan Issuers shall pay a fee specified by the Exchange for Agent and General Agent compensation (Distribution Cost). In 2023, the Distribution Cost is six-point-seven-five (6.75) percent of premiums for Qualified Health and Dental Plan Issuers.
      • Administrative costs of the Exchange: These costs can be found in the yearly Budget Reports on this webpage under “Financial Reports”.
      • Monies lost to waste, fraud, and abuse: $0
    Shop & Compare Tool Partner Store

    Additional Resources