1427 - Employer Notification Requirements on Premium Assistance Programs

Category

Benefits and Insurance

Audience List

  • Employee Relations Officers
  • Personnel Officers
  • Personnel Transactions Staff
  • Personnel Transactions Supervisors

Synopsis

This policy:

Informs on the Children’s Health Insurance Program Reauthorization Act (CHIPRA) for employers to notify employees about premium assistance programs under Medicaid and Children’s Health Insurance Program (CHIP) to help certain individuals pay for their employer-sponsored health coverage.

Introduction

The CHIPRA requires employers to provide the Premium Assistance under Medicaid and Children’s Health Insurance Program (CHIP) Notice to inform employees of premium assistance opportunities in the state where the employee resides to assist them in paying for their employer-sponsored group health coverage. 

The state may be subject to penalties for failing to comply with the notification requirements.

Statement

Employer Notification Requirements

Premium Assistance under Medicaid and the Children’s Health Insurance Program (CHIP) Notice

State departments and agencies are required to issue the Premium Assistance under Medicaid and Children’s Health Insurance Program (CHIP) Notice to employees who are newly eligible for state-sponsored health coverage. They should issue the Notice, with the Health Benefits Plan Enrollment Form (CalPERS HBD-12) and Summary of Benefits and Coverage Notice, no later than the first day the employee is eligible to enroll in health coverage and annually thereafter, during Open Enrollment.

The Notice provides information to individuals who are eligible for state-sponsored health coverage on potential opportunities for premium assistance under Medicaid or CHIP in the state where the employee resides. These premium assistance programs may help eligible employees pay for their state-sponsored health coverage. The Notice provides information on who to contact for additional information and how to apply for premium assistance.

Employees who are eligible for state-sponsored health coverage, but not currently enrolled, may enroll within 60 days of becoming eligible for premium assistance under Medicaid or CHIP, or upon termination from these programs.

Departments may distribute the Notice to employees by interoffice mail, first-class mail, or electronically. For electronic distribution, employees must use a computer as part of their daily, normal job function, or have consented to electronic delivery in a manner that demonstrates they can effectively receive the Notice via electronic delivery, per the Department of Labor notification disclosure safe harbor. Additionally, the Notice must be provided to employees upon request.

Application

Not applicable.

Authorities

Resources

Forms

Web Pages

Authorized By

Benefits Division
Benefits Division Inquiries, Benefits Division

Contact Person

Benefits Division
Benefits Division Inquiries
Phone: 916-322-0300
Email: BenefitsInquiries@calhr.ca.gov

Superseded Policies

Not Applicable.

History

View History



Please note that some PDF Forms may not be opened directly in your browser. These PDF forms may be downloaded and saved to your computer to be opened with Adobe Reader.

Table of Contents

1000 - Equal Employment Opportunity

1100 - Selection

1200 - Appointments

1300 - Exempt Employees

1400 - Benefits and Insurance

1500 - Work Schedules

1600 - Third Party Pre-Tax Parking

1700 - Compensation

1800 - Savings Plus

1900 - Bona Fide Associations

2000 - Collective Bargaining

2100 - Leave

2200 - Travel/Relocation

2300 - State Owned Housing

2400 - Employee Recognition

2600 - Layoffs

2700 - Retirement

2800 - Training

2900 - Workforce Planning

3000 - Examination and Hiring

3100 - Drug-Free Workplace

3200 - Medical Screening

3300 - Apprenticeships

3400 - Temporary Assignment

3500 - Classification Plan