HEALTH PLAN NOTICES FOR BENEFITS ELIGIBLE EMPLOYEES PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) (CONTINUED) New York Website: https://www.health.ny.gov/health_care/medicaid/ Phone: 1-800-541-2831 North Carolina Website: https://medicaid.ncdhhs.gov/ Phone: 919-855-4100 North Dakota Website: http://www.hhs.nd.gov/healthcare Phone: 1-844-854-4825 Oklahoma Website: http://www.insureoklahoma.org Phone: 1-888-365-3742 Oregon Website: http://healthcare.oregon.gov/Pages/index.aspx Phone: 1-800-699-9075 Pennsylvania Website: https://www.pa.gov/en/services/dhs/apply- formedicaid-health-insurance-premium-payment- programhipp.html Phone: 1-800-692-7462 CHIP Website: Children's Health Insurance Program (CHIP) (pa.gov) CHIP Phone: 1-800-986-KIDS (5437) Rhode Island Website: http://www.eohhs.ri.gov/ Phone: 1-855-697-4347, or 401-462-0311 (Direct RIte Share Line) South Carolina Website: https://www.scdhhs.gov Phone: 1-888-549-0820 South Dakota Website: http://dss.sd.gov Phone: 1-888-828-0059 Texas Website: https://hs.texas.gov/services/financial/health- insurance-premium-payment-hipp-program Phone: 1-800-440-0493 Utah Utah’s Premium Partnership for Health Insurance (UPP) Website: https://medicaid.utah.gov/upp/ Email: upp@utah.gov Phone: 1-888-222-2542 Adult Expansion Website: https://medicaid.utah.gov/expansion/ Utah Medicaid Buyout Program Website: https://medicaid.utah.gov/buyout-program/ CHIP Website: https://chip.utah.gov/ Vermont Website: http://www.dvha.vermont.gov/members/medicaid/hipp- program Phone: 1-800-250-8427 Virginia Website: https://coverva.dmas.virginia.gov/learn/premiumassistanc e/famis-select https://coverva.dmas.virginia.gov/learn/premiumassistanc e/health-insurance-premium-payment-hipp-programs Medicaid/CHIP Phone: 1-800-432-5924 Washington Website: https://www.hca.wa.gov/ Phone: 1-800-562-3022 West Virginia Website: http://mywvhipp.com/ http://dhhr.wv.gov/bms/ Medicaid Phone: 304-558-1700 CHIP Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447) Wisconsin Website: https://www.dhs.wisconsin.gov/badgercareplus/p- 10095.htm Phone: 1-800-362-3002 Wyoming Website: https://health.wyo.gov/healthcarefin/medicaid/programs- and eligibility/ Phone: 1-800-251-1269

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