2025 Benefits Enrollment Guide_Flexforce

Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your children aren’t eligible for Medicaid or CHIP, you won’t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit healthcare.gov. If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or CHIP office to find out if premium assistance is available. If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your State Medicaid or CHIP office or dial 1-877-KIDS NOW or insurekidsnow.gov to find out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan. If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you aren’t already enrolled. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contact the Department of Labor at askebsa.dol.gov or call 1-866-444-EBSA (3272) .

If you live in one of the following states, you may be eligible for assistance paying your employer health plan premiums. The following list of states is current as of July 31, 2024. Contact your State for more information on eligibility.

ALABAMA – Medicaid http://myalhipp.com 855-692-5447

INDIANA – Medicaid Health Insurance Premium Payment Program All other Medicaid: https://www.in.gov/ medicaid http://www.in.gov/fssa/dfr Family and Social Services Administration: 800-403-0864 Member Services: 800-457-4584 IOWA – Medicaid and CHIP (Hawki) Medicaid: https://hhs.iowa. gov/programs/welcome-iowa- medicaid 800-338-8366 Hawki: https://hhs.iowa.gov/ programs/welcome-iowa- medicaid/iowa-health-link/ hawki 800-257-8563 HIPP: https://hhs.iowa.gov/ programs/welcome-iowa- medicaid/fee-service/hipp 888-346-9562 KANSAS – Medicaid https://www.kancare.ks.gov 800-792-4884 HIPP Phone: 800-967-4660 KENTUCKY – Medicaid Kentucky Integrated Health Insurance Premium Payment Program (KI-HIPP): https://chfs.ky.gov/agencies/ dms/member/Pages/kihipp.aspx 855-459-6328 KIHIPP.PROGRAM@ky.gov KCHIP: https://kynect.ky.gov 877-524-4718 Medicaid: https://chfs.ky.gov/ agencies/dms LOUISIANA – Medicaid www.medicaid.la.gov or www. ldh.la.gov/lahipp 888-342-6207 (Medicaid hotline) or 855-618-5488 (LaHIPP) MAINE – Medicaid https://www. mymaineconnection.gov/ benefits/s/?language=en_US 800-442-6003 (TTY: Maine relay 711) Private Health Insurance Premium: https://www.maine. gov/dhhs/ofi/applications-forms 800-977-6740 (TTY: Maine relay 711)

MASSACHUSETTS – Medicaid and CHIP https://www.mass.gov/ masshealth/pa 800-862-4840 (TTY: 711) masspremassistance@accenture. com MINNESOTA – Medicaid https://mn.gov/dhs/health-care- coverage 800-657-3672 MISSOURI – Medicaid http://www.dss.mo.gov/mhd/ participants/pages/hipp.htm 573-751-2005 MONTANA – Medicaid http://dphhs.mt.gov MontanaHealthcare Programs/HIPP 800-694-3084 HHSHIPPProgram@mt.gov NEBRASKA – Medicaid http://www.ACCESSNebraska. ne.gov 855-632-7633

NORTH CAROLINA – Medicaid https://medicaid.ncdhhs.gov 919-855-4100 NORTH DAKOTA – Medicaid https://www.hhs.nd.gov/healthcare 844-854-4825 OKLAHOMA – Medicaid and CHIP http://www.insureoklahoma.org 888-365-3742 OREGON – Medicaid and CHIP http://healthcare.oregon.gov/ Pages/index.aspx 800-699-9075 PENNSYLVANIA – Medicaid and CHIP https://www.pa.gov/en/services/ dhs/apply-for-medicaid-health- insurance-premium-payment- program-hipp.html 800-692-7462 CHIP: https://www.pa.gov/en/ agencies/dhs/resources/chip. html 800-986-KIDS (5437) RHODE ISLAND – Medicaid and CHIP http://www.eohhs.ri.gov 855-697-4347 , or 401-462-0311 (Direct RIte Share Line) SOUTH CAROLINA – Medicaid https://www.scdhhs.gov 888-549-0820 SOUTH DAKOTA - Medicaid http://dss.sd.gov 888-828-0059 TEXAS – Medicaid https://www.hhs.texas.gov/ services/financial/health- insurance-premium-payment-

VERMONT– Medicaid https://dvha.vermont.gov/ members/medicaid/hipp- program 800-250-8427 VIRGINIA – Medicaid and CHIP https://coverva.dmas.virginia. gov/learn/premium-assistance/ famis-select https://coverva.dmas.virginia. gov/learn/premium-assistance/ health-insurance-premium- payment-hipp-programs 800-432-5924

ALASKA – Medicaid The AK Health Insurance Premium Payment Program: http://myakhipp.com 866-251-4861 CustomerService@MyAKHIPP. com Medicaid Eligibility: https:// health.alaska.gov/dpa/Pages/ default.aspx ARKANSAS – Medicaid http://myarhipp.com 855-MyARHIPP (855-692-7447) CALIFORNIA – Medicaid Health Insurance Premium Payment (HIPP) Program: http:// dhcs.ca.gov/hipp 916-445-8322

WASHINGTON – Medicaid https://www.hca.wa.gov 800-562-3022

WEST VIRGINIA – Medicaid and CHIP https://dhhr.wv.gov/bms http://mywvhipp.com 304-558-1700 CHIP Toll-free phone: 855-MyWVHIPP (1-855-699- 8447) WISCONSIN – Medicaid and CHIP https://www.dhs.wisconsin.gov/ badgercareplus/p-10095.htm 800-362-3002

Fax: 916-440-5676 hipp@dhcs.ca.gov

COLORADO – Health First Colorado (Colorado’s Medicaid Program) & Child Health Plan Plus (CHP+) Health First Colorado: https:// www.healthfirstcolorado.com 800-221-3943 /State Relay 711 CHP+: https://hcpf.colorado.gov/ child-health-plan-plus 800-359-1991 /State Relay 711 HIBI: https://www.mycohibi.com 855-692-6442 FLORIDA – Medicaid https://www. flmedicaidtplrecovery.com/ flmedicaidtplrecovery.com/hipp/ index.html 877-357-3268 GEORGIA – Medicaid HIPP: https://medicaid.georgia. gov/health-insurance-premium-

Lincoln: 402-473-7000 Omaha: 402-595-1178

NEVADA – Medicaid http://dhcfp.nv.gov 800-992-0900

WYOMING – Medicaid https://health.wyo.gov/ healthcarefin/medicaid/ programs-and-eligibility 800-251-1269

NEW HAMPSHIRE – Medicaid https://www.dhhs.nh.gov/ programs-services/medicaid/ health-insurance-premium- program 603-271-5218 Toll free number for the HIPP program: 800-852-3345 , ext. 15218 DHHS.ThirdPartyLiabi@dhhs. nh.gov NEW JERSEY – Medicaid and CHIP Medicaid: http://www.state. nj.us/humanservices/ dmahs/clients/medicaid 800-356-1561 CHIP Premium Assistance: 609- 631-2392 CHIP: http://www.njfamilycare. org/index.html 800-701-0710 (TTY: 711) NEW YORK – Medicaid https://www.health.ny.gov/ health_care/medicaid 800-541-2831

To see if any other states have added a premium assistance program since July 31, 2023, or for more information on special enrollment rights, contact: U.S. Department of Labor Employee Benefits Security Administration dol.gov/agencies/ebsa 866-444-EBSA (3272) U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services cms.hhs.gov 877-267-2323 , Menu Option 4, Ext. 61565

hipp-program 800-440-0493

UTAH – Medicaid and CHIP Utah’s Premium Partnership for Health Insurance (UPP) : https:// medicaid.utah.gov/upp

payment-program-hipp 678-564-1162 , Press 1

CHIPRA: https://medicaid. georgia.gov/programs/third- party-liability/childrens- health-insurance-program- reauthorization-act-2009-chipra 678-564-1162 , Press 2

upp@utah.gov 888-222-2542 Adult Expansion: https://

medicaid.utah.gov/expansion Utah Medicaid Buyout Program: https://medicaid.utah.gov/ buyout-program CHIP: https://chip.utah.gov

OMB Control Number 1210-0137 (expires 1/31/2026)

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