Required Annual Employee Disclosure Notices continued Required Annual Employee Disclosure Notices
If you or your children are eligible for Medicaid or C H I P 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 C H I P programs. If you or your children aren’t eligible for Medicaid or C HIP, 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 www.healthcare.gov . If you or your dependents are already enrolled in Medicaid or C H I P and you live in a State listed below, contact your State Medicaid or C H I P office to find out if premium assistance is available. If you or your dependents are N O T 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 C H I P office or dial 1-877- KIDS NOW or www.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 CH IP, 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 www.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, 2021. Contact your State for more information on eligibility –
CALIFORNIA-Medicaid WHeeablstihteI:nsurance Premium Payment (HIPP) Program Ph tht po :n/ e/ :d 9h 1c s6. c- 4a .4g 5o -v8/3h2i p2p Email: hipp@dhcs.ca.gov COLORADO-Health First Colorado (Colorado’s Medicaid Program) & Child Health Plan Plus (CHP+) H ht e tp a s lt :/ h / F w ir w st w C .h o e l a o l r th a f d ir o st W co e lo b r s a it d e o : .com/ H 80 e 0 a - l 2 th 21 F - i 3 r 9 st 43 C / ol S o ta r t a e d R o e M la e y m 7 b 11 er Contact Center: 1- CHP+: https://www.colorado.gov/pacific/hcpf/child- health-plan-plus CH eHaPl t h+ I nCsuusrtaonmc ee rB Sueyr-vI inc eP: r1o-g8r0a0m- 3(5H9I- 1B9I 9) :1 / S t a t e R e l a y 7 1 1 phtrtopgsr:/a/mwww.colorado.gov/pacific/hcpf/health-insurance- buy- HIBI Customer Service: 1-855-692-6442 FLORIDA-Medicaid W htt e p b s s :/ it / e w : ww.flmedicaidtplrecovery.com/flmedicaidtplrecov eP rhyo. cnoem: 1/ h- 8i p7 p7 /- 3i n5d7e- x3 . 2h 6t m8 l
ALABAMA-Medicaid
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ALASKA-Medicaid
TWheeb sAi tKe : Hhettapl:t/h/mInysaukrhainpcpe.coPmr e/m i u m P a y m e n t P r o g r a m P E h m o a n il e : :1 C - u 8 s 6 t 6 o - m 25 e 1 r - S 4 e 8 r 6 v 1 ice@MyAKHIPP.com Medicaid Ehtltipg:i/b/idlihtyss:.alaska.gov/dpa/Pages/medicaid/default.aspx
ARKANSAS-Medicaid WP heobnsei t:e1: h- 8tt5p:5/-/MmyyaArRhiHpIpP.cPom(8/55-692-7447)
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