HEALTH PLAN NOTICES FOR BENEFITS ELIGIBLE EMPLOYEES PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) (CONTINUED) TEXAS – Medicaid Website: Health Insurance Premium Payment (HIPP) Program | Texas Health and Human Services Phone: 1 - 800 - 440 - 0493 UTAH – Medicaid and CHIP 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 – Medicaid Website: Health Insurance Premium Payment (HIPP) Program | Department of Vermont Health Access Phone: 1 - 800 - 250 - 8427 VIRGINIA – Medicaid and CHIP Website: https://coverva.dmas.virginia.gov/learn/premiumassistance/fami s - select and https://coverva.dmas.virginia.gov/learn/premiumassistance/healt h - insurance - premium - payment - hipp - programs Medicaid/CHIP Phone: 1 - 800 - 432 - 5924 WASHINGTON – Medicaid Website: https://www.hca.wa.gov/ Phone: 1 - 800 - 562 - 3022 WEST VIRGINIA – Medicaid and CHIP Website: https://dhhr.wv.gov/bms/ http://mywvhipp.com/ Medicaid Phone: 304 - 558 - 1700 CHIP Toll - free phone: 1 - 855 - MyWVHIPP (1 - 855 - 699 - 8447) WISCONSIN – Medicaid and CHIP Website: https://www.dhs.wisconsin.gov/badgercareplus/p - 10095.htm Phone: 1 - 800 - 362 - 3002 WYOMING – Medicaid Website: https://health.wyo.gov/healthcarefin/medicaid/progra ms - and - eligibility/ Phone: 1 - 800 - 251 - 1269 To see if any other states have added a premium assistance program since July 31,2025, or for more information on S pecial Enrollment Rights , contact either: U.S. Department of Labor Employee Benefits Security Administration www.dol.gov/agencies/ebsa 1 - 866 - 444 - EBSA (3272) U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services www.cms.hhs.gov 1 - 877 - 267 - 2323, Menu Option 4, Ext. 61565 OMB Control Number 1210 - 0137 (Expires: 1/31/2026)