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PACIFIC CARE

Step 1 BENEFITS AND RATES

Review Benefits HMO or PPO

Review Pharmacy Benefits HMO or PPO

Rates

 

Step 2 APPLICATION

Print application and complete form


 

Step 3 JOINER FORMS

Click here for Joiner Form description

 

Click here to print forms and sign

 

Step 4 CAFCC

You must be a member of the CAFCC(California Association for Family Child Care) for $20 a year.

 

If you are a member already proceed to next step.

If you are not a member, print out the CAFCC application, complete and attach a $20 check made out to CAFCC.

 

Proceed to next step.

Step 5 PAYMENT METHOD


Print out payment worksheet and complete to determine final monthly payment

There are two options for payment:

If you would like auto deduction, please print out the AUTO PAY FORM and complete and prepare a VOID check.

For bill pay please complete a check for the first month's premium, made out to BA&IS (NOT VANTAGE!).

 

Then proceed to next step

 

Step 6 FINAL CHECKLIST AND MAILING

Put the following into an envelope to mail to Vantage:

1. Completed application
2. Both Joiner Forms
3. 1st month's pay OR auto pay form and VOID check
4. Payment Worksheet
5. Copy of childcare license and driver's license
6. Copy of CAFCC card OR application with a $20 check

Mail to:

Vantage Business Support & Insurance Services
Attn: Childcare Program
2200 Powell Street Ste 530
Emeryville, CA 94608