Use this form to join or change your medical plan. If you need help filling out the form, read How to fill out a medical form.Social Security numbers for applicants who are U.S. citizens, or document information for immigrants with satisfactory status who need insurance. Forms and Documents: Health Insurance Applications, Applications With Financial Help to Lower Your Monthly Premium, Application (English), Large Print I agree to provide information to Sacramento County about other health insurance that I may have. •. Medi-Cal is California's Medicaid health care program. How to submit your application: You must email, fax, or mail us your signed and completed form. Please submit the completed form via mail to Covered California, P.O. Box 989725, West Sacramento, CA 95798-9725. How to use this form: You may use this form to apply for a Sutter Health Plus individual and family plan or make changes to an existing policy.