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August 30, 2011

Updated Medicaid/CHIP Premium Assistance Notice Issued

Individuals who are eligible for employer-sponsored group health coverage, but are unable to afford the premium, may be eligible to receive premium assistance from a state’s Medicaid agency or CHIP program.  Employers are required to provide premium assistance information to their employees.  This can be accomplished by using a model notice provided by the Department of Labor (see Medicaid/CHIP Premium Assistance Notice Issued, Benefit Beat, 3/4/10).  The DOL has recently released its revised Medicaid/CHIP notice that can be obtained from its website (click here for 7/31/11 version).

States that provide some form of premium assistance are:

States with Premium Assistance

Alabama

Iowa

Nevada

Rhode Island

Alaska

Kansas

New Hampshire

South Carolina

Arizona

Kentucky

New Jersey

Texas

Arkansas

Louisiana

New Mexico

Utah

California

Maine

New York

Vermont

Colorado

Massachusetts

North Carolina

Virginia

Florida

Minnesota

North Dakota

Washington

Georgia

Missouri

Oklahoma

West Virginia

Idaho

Montana

Oregon

Wisconsin

Indiana

Nebraska

Pennsylvania

Wyoming

The notice explaining the right to premium assistance must be provided to anyone residing in these States, without regard to where the employer is located, or where the plan is sitused.  The employer can provide the notice to all of its employees, or just to those who are residing in the above-listed states. 

 

The information contained in this Benefit Beat is not intended to be legal, accounting, or other professional advice, nor are these comments directed to specific situations.

As required by U.S. Treasury rules, we inform you that, unless expressly stated otherwise, any U.S. federal tax advice contained in this Benefit Beat is not intended or written to be used, and cannot be used, by any person for the purpose of avoiding any penalties that may be imposed by the Internal Revenue Service.

 

 

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