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August 8, 2016

Updated Medicaid/CHIP Premium Assistance Notice (article)

Employers sponsoring health plans are obligated to annually provide a premium assistance notice to their workforce.  This notification can be accomplished by using a model notice provided by the Department of Labor The DOL has recently updated its model Medicaid/CHIP notice (links to revised English and Spanish model notices below).  The revised notice, current as of July 31, 2016, makes the following changes from the January 31, 2016 version:

  • New Medicaid program information, website and phone numbers in Alaska and Arkansas
  • Revised website addresses for Medicaid offices in Florida and Pennsylvania

The notice explaining the right to premium assistance must be provided to employees residing in the below-listed states, without regard to where the employer is located, or where the plan is sitused: 

 

States with Premium Assistance

Alabama

Minnesota

Pennsylvania

Alaska

Missouri

Rhode Island

Arkansas

Montana

South Carolina

Colorado

Nebraska

South Dakota

Florida

Nevada

Texas

Georgia

New Hampshire

Utah

Indiana

New Jersey

Vermont

Iowa

New York

Virginia

Kansas

North Carolina

Washington

Kentucky

North Dakota

West Virginia

Louisiana

Oklahoma

Wisconsin

Maine

Oregon

Wyoming

Massachusetts

 

 

 

As mentioned in last month’s Benefit Beat, the Department of Labor recently increased penalties for certain reporting and disclosure failures.  The penalty for failure to provide the Medicaid/CHIP notice is now $110 per day, per person, up from $100 per day, per person.

 

The revised Medicaid/CHIP notice can be viewed and/or saved from these website addresses:

English

Word version: http://www.dol.gov/ebsa/chipmodelnotice.doc

PDF version: http://www.dol.gov/ebsa/pdf/chipmodelnotice.pdf

 

Spanish

Word version: http://www.dol.gov/ebsa/chipmodelnoticesp.doc

PDF version: http://www.dol.gov/ebsa/pdf/chipmodelnoticesp.pdf

 

The information contained in this article is provided as general guidance and may be affected by changes in law or regulation. This article is not intended to replace or substitute for accounting or other professional advice. Please consult a CBIZ professional. This information is provided as-is with no warranties of any kind. CBIZ shall not be liable for any damages whatsoever in connection with its use and assumes no obligation to inform the reader of any changes in laws or other factors that could affect the information contained herein.   

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