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Membership Application

NAHAA members help individuals, children, and families gain, use, and retain high quality health care and coverage.

Our online membership application will be available in January 2018.

In the meantime, please download and complete the PDF application below. Head to the Contact page for any questions. We look forward to hearing from you!


  • Please download and complete this membership application. Don't forget to save a copy for your records.

    Once completed, you may email to, or send a hard copy to us at 1107 9th Street, Suite 601, Sacramento, CA 95814.

  • After submission of your application, please use this link to submit your initial membership dues.

    If you have any questions, please get in touch!