HEALTH PLAN NOTICES FOR BENEFITS ELIGIBLE EMPLOYEES PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) If you or your children are eligible for Medicaid or CHIP 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 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 Insurance Marketplace. For more information, visit . www.healthcare.gov If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or CHIP office to find out if premium assistance is available. If you or your dependents are NOT 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 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 might help you pay the premiums for an employer-sponsored plan. If you or your dependents are eligible for premium assistance under Medicaid or CHIP, 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. Contact your State for more information on eligibility: Alabama California Health Insurance Buy-In Program (HIBI): Website: http://myalhipp.com/ Website: https://www.mycohibi.com/ Phone: 1-855-692-5447 Health Insurance Premium Payment (HIPP) Program HIBI Customer Service: 1-855-692-6442 Alaska http://dhcs.ca.gov/hipp Florida Phone: 916-445-8322 Website: The AK Health Insurance Premium Payment Program Fax: 916-440-5676 https://www.flmedicaidtplrecovery.com/flmedicaidtplrecovery Website: http://myakhipp.com/ Email: [email protected] .com/hipp/index.html Phone: 1-866-251-4861 Colorado Phone: 1-877-357-3268 Email: [email protected] Medicaid Eligibility: Health First Colorado Website: Kansas http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx https://www.healthfirstcolorado.com/ Arkansas Health First Colorado Member Contact Center: Website: https://www.kancare.ks.gov/ Website: http://myarhipp.com/ 1-800-221-3943/ State Relay 711 Phone: 1-800-792-4884 Phone: 1-855-MyARHIPP (855-692-7447) CHP+: https://www.colorado.gov/pacific/hcpf/child-health- HIPP Phone: 1-800-967-4660 plan-plus CHP+ Customer Service: 1-800-359-1991/ State Relay 711