LEGAL NOTICES LEGAL NOTICES
PremiumAssistance Under Medicaidand the Children'sHealthInsurance Program (CHIP) If you or your childrenare eligiblefor Medicaid or CHIPand you’re eligible for health coverage from your employer, your state may have a premiumassistance 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 InsuranceMarketplace. For moreinformation, visitwww.healthcare.gov.
If your or your dependents are already enrolled in Medicaid or CHIP and you livein a State listed below, contact your State Medicaid or CHIP officeto find out if premiumassistanceis available.
If your or your dependents are NOT currentlyenrolled in Medicaidor CHIP, and you think you or any of your dependents might be eligible for either of these programs, contactyour State Medicaid or CHIP 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 mighthelp you pay the premiumsfor an employer-sponsored plan. If you or your dependents are eligiblefor premiumassistanceunder Medicaidor CHIP,as well as eligibleunder your employerplan, 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 mustrequest coverage within60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contactthe Departmentof 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 ofstates is current as ofJuly 31, 2024. Contactyour state for more informationoneligibility.
ALABAMA-Medicaid
CALIFORNIA-Medicaid
Website: http://myalhipp.com/ Phone: 1-855-692-5447
Website: Health Insurance Premium Payment (HIPP) Program
http://dhcs.ca.gov/hipp Phone: 916-445-8322 Fax: 916-440-5676 Email: hipp@dhcs.ca.gov
ALASKA-Medicaid
COLORADO-Health First Colorado (Colorado’s Medicaid
Program)&ChildHealth Plan Plus(CHP+)
The AK Health Insurance Premium Payment Program Website: http://myakhipp.com/ Phone: 1-866-251-4861 Email: CustomerService@MyAKHIPP.com Medicaid Eligibility: http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx
Health First Colorado Website: https://www.healthfirstcolorado.com/ Health First Colorado Member Contact Center: 1-800-221-3943/State Relay 711 CHP+: https://hcpf.colorado.gov/child-health-plan-plus CHP+ Customer Service: 1-800-359-1991/State Relay 711 Health Insurance Buy-In Program (HIBI): https://www.mycohibi.com/ HIBI Customer Service: 1-855-692-6442
ARKANSAS-Medicaid
FLORIDA-Medicaid
Website: https://www.flmedicaidtplrecovery.com/flmedicaidtplrecovery. c om/hipp/index.html Phone: 1-877-357-3268
Website: http://myarhipp.com/ Phone: 1-855-MyARHIPP (855-692-7447)
BENEFITS GUIDE
LEGAL NOTICES I
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