ࡱ> m Mbjbj 4;j;jE ]]]]]qqq8TqGz""""+~0Le1_GaGaGaGaGaGaG6JLaG] 2y+"+ 2 2aG]]""zvGe8e8e8 2`]"]"_Ge8 2_Ge8e8e8"/|؅m3pe8KGG0Ge8N3Ne8@8jN]:< 2 2e8 2 2 2 2 2aGaG5 2 2 2G 2 2 2 2N 2 2 2 2 2 2 2 2 2 Y #: Premium Assistance Under Medicaid and the Childrens Health Insurance Program (CHIP) If you or your children are eligible for Medicaid or CHIP and youre 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 arent eligible for Medicaid or CHIP, you wont 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  HYPERLINK "http://www.healthcare.gov" 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  HYPERLINK "http://www.insurekidsnow.gov" 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 arent 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  HYPERLINK "http://www.askebsa.dol.gov" 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. The following list of states is current as of July 31, 2025. Contact your State for more information on eligibility ALABAMA MedicaidALASKA MedicaidWebsite:  HYPERLINK "http://myalhipp.com/" http://myalhipp.com/ Phone: 1-855-692-5447The AK Health Insurance Premium Payment Program Website:  HYPERLINK "http://myakhipp.com/" http://myakhipp.com/ Phone: 1-866-251-4861 Email:  HYPERLINK "mailto:CustomerService@MyAKHIPP.com" CustomerService@MyAKHIPP.com Medicaid Eligibility:  HYPERLINK "https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fhealth.alaska.gov%2Fdpa%2FPages%2Fdefault.aspx&data=05%7C01%7CBerman.Nathaniel%40dol.gov%7Ca5722ebf007e4847fe8808da69a45fb9%7C75a6305472044e0c9126adab971d4aca%7C0%7C0%7C637938452103798639%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=A5Fggwg0lR2c%2FOwofWNVpVk8b5%2FFX1kaOQNuuEwAAAE%3D&reserved=0" https://health.alaska.gov/dpa/Pages/default.aspxARKANSAS MedicaidCALIFORNIA MedicaidWebsite:  HYPERLINK "http://myarhipp.com/" http://myarhipp.com/ Phone: 1-855-MyARHIPP (855-692-7447)Health Insurance Premium Payment (HIPP) Program Website:  HYPERLINK "http://dhcs.ca.gov/hipp" http://dhcs.ca.gov/hipp Phone: 916-445-8322 Fax: 916-440-5676 Email:  HYPERLINK "mailto:hipp@dhcs.ca.gov" hipp@dhcs.ca.govCOLORADO Health First Colorado (Colorados Medicaid Program) & Child Health Plan Plus (CHP+)FLORIDA MedicaidHealth First Colorado Website:  HYPERLINK "https://www.healthfirstcolorado.com/" https://www.healthfirstcolorado.com/ Health First Colorado Member Contact Center: 1-800-221-3943/State Relay 711 CHP+:  HYPERLINK "https://hcpf.colorado.gov/child-health-plan-plus" https://hcpf.colorado.gov/child-health-plan-plus CHP+ Customer Service: 1-800-359-1991/State Relay 711 Health Insurance Buy-In Program (HIBI):  HYPERLINK "https://www.mycohibi.com/" https://www.mycohibi.com/ HIBICustomer Service: 1-855-692-6442Website:  HYPERLINK "https://www.flmedicaidtplrecovery.com/flmedicaidtplrecovery.com/hipp/index.html" https://www.flmedicaidtplrecovery.com/flmedicaidtplrecovery.com/hipp/index.html Phone: 1-877-357-3268GEORGIA MedicaidINDIANA MedicaidGA HIPP Website:  HYPERLINK "https://gcc01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fmedicaid.georgia.gov%2Fhealth-insurance-premium-payment-program-hipp&data=02%7C01%7Cstashlaw%40dch.ga.gov%7C98b18a96ce1b49d087f708d709449652%7C512da10d071b4b948abc9ec4044d1516%7C0%7C0%7C636988062560854968&sdata=7rziGawQfBKcW1N2%2Bdi2j8cyHpaCYURGdtF8Hk%2By6FM%3D&reserved=0" https://medicaid.georgia.gov/health-insurance-premium-payment-program-hipp Phone: 678-564-1162, Press 1 GA CHIPRA Website:  HYPERLINK "https://medicaid.georgia.gov/programs/third-party-liability/childrens-health-insurance-program-reauthorization-act-2009-chipra" https://medicaid.georgia.gov/programs/third-party-liability/childrens-health-insurance-program-reauthorization-act-2009-chipra Phone: 678-564-1162, Press 2Health Insurance Premium Payment Program All other Medicaid Website: HYPERLINK "https://www.in.gov/medicaid/"https://www.in.gov/medicaid/ HYPERLINK "http://www.in.gov/fssa/dfr/"http://www.in.gov/fssa/dfr/ Family and Social Services Administration Phone: 1-800-403-0864 Member Services Phone: 1-800-457-4584IOWA Medicaid and CHIP (Hawki)KANSAS MedicaidMedicaid Website: HYPERLINK "https://hhs.iowa.gov/programs/welcome-iowa-medicaid"Iowa Medicaid | Health & Human Services Medicaid Phone: 1-800-338-8366 Hawki Website: HYPERLINK "https://hhs.iowa.gov/programs/welcome-iowa-medicaid/iowa-health-link/hawki"Hawki - Healthy and Well Kids in Iowa | Health & Human Services Hawki Phone: 1-800-257-8563 HIPP Website: HYPERLINK "https://hhs.iowa.gov/programs/welcome-iowa-medicaid/fee-service/hipp"Health Insurance Premium Payment (HIPP) | Health & Human Services (iowa.gov) HIPP Phone: 1-888-346-9562Website:  HYPERLINK "https://www.kancare.ks.gov/" https://www.kancare.ks.gov/ Phone: 1-800-792-4884 HIPP Phone: 1-800-967-4660KENTUCKY Medicaid LOUISIANA MedicaidKentucky Integrated Health Insurance Premium Payment Program (KI-HIPP) Website:  HYPERLINK "https://chfs.ky.gov/agencies/dms/member/Pages/kihipp.aspx" https://chfs.ky.gov/agencies/dms/member/Pages/kihipp.aspx Phone: 1-855-459-6328 Email:  HYPERLINK "mailto:KIHIPP.PROGRAM@ky.gov" KIHIPP.PROGRAM@ky.gov KCHIP Website: HYPERLINK "https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fkynect.ky.gov%2F&data=05%7C02%7CClinton.Latisha.M%40dol.gov%7C0ea7063fc3ad45daa23708dc1624e4e6%7C75a6305472044e0c9126adab971d4aca%7C0%7C0%7C638409595278820551%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=0fmlL3Js913dnHPUVk4VzO2B01U79vtVl5AUex6NXJE%3D&reserved=0"https://kynect.ky.gov Phone: 1-877-524-4718 Kentucky Medicaid Website:  HYPERLINK "https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fchfs.ky.gov%2Fagencies%2Fdms&data=05%7C01%7CClinton.Latisha.M%40dol.gov%7Cceea86848e7e41f7dd9008db83d50dfb%7C75a6305472044e0c9126adab971d4aca%7C0%7C0%7C638248724653548159%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=DJ8rl0bkdcKwMIE92YY23XQc%2FZI71iLtdbD0L2XkS38%3D&reserved=0" https://chfs.ky.gov/agencies/dmsWebsite:  HYPERLINK "http://dhh.louisiana.gov/index.cfm/subhome/1/n/331" www.medicaid.la.gov or  HYPERLINK "http://www.ldh.la.gov/lahipp" www.ldh.la.gov/lahipp Phone: 1-888-342-6207 (Medicaid hotline) or 1-855-618-5488 (LaHIPP) MAINE MedicaidMASSACHUSETTS Medicaid and CHIPEnrollment Website:  HYPERLINK "https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.mymaineconnection.gov%2Fbenefits%2Fs%2F%3Flanguage%3Den_US&data=05%7C01%7CClinton.Latisha.M%40dol.gov%7Cb96a31a5c25e4e1da49908daf4ae9bf1%7C75a6305472044e0c9126adab971d4aca%7C0%7C0%7C638091328210827160%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=GeBtSEsUoaCw5ukO%2F6O2IUy%2B9FzGqgY%2FJ2C9OgAhxE4%3D&reserved=0" https://www.mymaineconnection.gov/benefits/s/?language=en_US Phone: 1-800-442-6003 TTY: Maine relay 711 Private Health Insurance Premium Webpage:  HYPERLINK "https://www.maine.gov/dhhs/ofi/applications-forms" https://www.maine.gov/dhhs/ofi/applications-forms Phone: 1-800-977-6740 TTY: Maine relay 711Website:  HYPERLINK "https://www.mass.gov/masshealth/pa " https://www.mass.gov/masshealth/pa  Phone: 1-800-862-4840 TTY: 711 Email:  HYPERLINK "mailto:masspremassistance@accenture.com" masspremassistance@accenture.comMINNESOTA MedicaidMISSOURI MedicaidWebsite: HYPERLINK "https://mn.gov/dhs/health-care-coverage/"https://mn.gov/dhs/health-care-coverage/ Phone: 1-800-657-3672Website:  HYPERLINK "http://www.dss.mo.gov/mhd/participants/pages/hipp.htm" http://www.dss.mo.gov/mhd/participants/pages/hipp.htm Phone: 573-751-2005MONTANA MedicaidNEBRASKA MedicaidWebsite:  HYPERLINK "http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPP" http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPP Phone: 1-800-694-3084 Email:  HYPERLINK "mailto:HHSHIPPProgram@mt.gov" HHSHIPPProgram@mt.govWebsite:  HYPERLINK "http://www.ACCESSNebraska.ne.gov" http://www.ACCESSNebraska.ne.gov Phone: 1-855-632-7633 Lincoln: 402-473-7000 Omaha: 402-595-1178 NEVADA MedicaidNEW HAMPSHIRE MedicaidMedicaid Website:  HYPERLINK "http://dhcfp.nv.gov" http://dhcfp.nv.gov Medicaid Phone: 1-800-992-0900Website: HYPERLINK "https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.dhhs.nh.gov%2Fprograms-services%2Fmedicaid%2Fhealth-insurance-premium-program&data=05%7C01%7CGoodwin.Carolyn%40dol.gov%7C6aa7b22dba29413479c108da73eb96c6%7C75a6305472044e0c9126adab971d4aca%7C0%7C0%7C637949752922233349%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=mUgACydlz9JGXnHMgi%2FUkDGD0QyTI1U6Tjwue%2Bq8D0Q%3D&reserved=0"https://www.dhhs.nh.gov/programs-services/medicaid/health-insurance-premium-program Phone: 603-271-5218 Toll free number for the HIPP program: 1-800-852-3345, ext. 15218 Email:HYPERLINK "mailto:DHHS.ThirdPartyLiabi@dhhs.nh.gov"DHHS.ThirdPartyLiabi@dhhs.nh.govNEW JERSEY Medicaid and CHIPNEW YORK MedicaidMedicaid Website:  HYPERLINK "http://www.state.nj.us/humanservices/ dmahs/clients/medicaid/" http://www.state.nj.us/humanservices/ dmahs/clients/medicaid/ Phone: 1-800-356-1561 CHIP Premium Assistance Phone: 609-631-2392 CHIP Website:  HYPERLINK "http://www.njfamilycare.org/index.html" http://www.njfamilycare.org/index.html CHIP Phone: 1-800-701-0710 (TTY: 711)Website:  HYPERLINK "https://www.health.ny.gov/health_care/medicaid/" https://www.health.ny.gov/health_care/medicaid/ Phone: 1-800-541-2831NORTH CAROLINA MedicaidNORTH DAKOTA MedicaidWebsite:  HYPERLINK "https://medicaid.ncdhhs.gov/" https://medicaid.ncdhhs.gov/ Phone: 919-855-4100Website:  HYPERLINK "https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.hhs.nd.gov%2Fhealthcare&data=05%7C01%7CClinton.Latisha.M%40dol.gov%7C64da7b9f730b4fb2467608db7fe082e3%7C75a6305472044e0c9126adab971d4aca%7C0%7C0%7C638244374885371946%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=RO%2BrOZKJxqNsa0Ewzhle%2FkVaDGnl7hpPQnJUnW1mwDU%3D&reserved=0" https://www.hhs.nd.gov/healthcare Phone: 1-844-854-4825OKLAHOMA Medicaid and CHIPOREGON Medicaid and CHIPWebsite:  HYPERLINK "http://www.insureoklahoma.org/" http://www.insureoklahoma.org Phone: 1-888-365-3742Website:  HYPERLINK "http://healthcare.oregon.gov/Pages/index.aspx" http://healthcare.oregon.gov/Pages/index.aspx Phone: 1-800-699-9075PENNSYLVANIA Medicaid and CHIPRHODE ISLAND Medicaid and CHIPWebsite: HYPERLINK "https://www.pa.gov/en/services/dhs/apply-for-medicaid-health-insurance-premium-payment-program-hipp.html"https://www.pa.gov/en/services/dhs/apply-for-medicaid-health-insurance-premium-payment-program-hipp.html Phone: 1-800-692-7462 CHIP Website:  HYPERLINK "https://www.dhs.pa.gov/CHIP/Pages/CHIP.aspx" Children's Health Insurance Program (CHIP) (pa.gov) CHIP Phone: 1-800-986-KIDS (5437)Website:  HYPERLINK "http://www.eohhs.ri.gov/" http://www.eohhs.ri.gov/ Phone: 1-855-697-4347, or 401-462-0311 (Direct RIte Share Line)SOUTH CAROLINA MedicaidSOUTH DAKOTA - MedicaidWebsite:  HYPERLINK "https://www.scdhhs.gov" https://www.scdhhs.gov Phone: 1-888-549-0820Website:  HYPERLINK "http://dss.sd.gov/" http://dss.sd.gov Phone: 1-888-828-0059TEXAS MedicaidUTAH Medicaid and CHIPWebsite:  HYPERLINK "https://www.hhs.texas.gov/services/financial/health-insurance-premium-payment-hipp-program" Health Insurance Premium Payment (HIPP) Program | Texas Health and Human Services Phone: 1-800-440-0493Utahs Premium Partnership for Health Insurance (UPP) Website: HYPERLINK "https://medicaid.utah.gov/upp/" \t "_blank"https://medicaid.utah.gov/upp/ Email: HYPERLINK "mailto:upp@utah.gov"upp@utah.gov Phone: 1-888-222-2542 Adult Expansion Website: HYPERLINK "https://medicaid.utah.gov/expansion/"https://medicaid.utah.gov/expansion/ Utah Medicaid Buyout Program Website: HYPERLINK "https://medicaid.utah.gov/buyout-program/"https://medicaid.utah.gov/buyout-program/ CHIP Website: HYPERLINK "https://chip.utah.gov/"https://chip.utah.gov/VERMONT MedicaidVIRGINIA Medicaid and CHIPWebsite:  HYPERLINK "https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdvha.vermont.gov%2Fmembers%2Fmedicaid%2Fhipp-program&data=05%7C01%7CClinton.Latisha.M%40dol.gov%7C3daa411d0e934769e75c08daf4bf842e%7C75a6305472044e0c9126adab971d4aca%7C0%7C0%7C638091400777632051%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=7ao%2BrltzkBEMojzmZ9O8UllrAdaRI%2Fmzhq3FE%2Bf%2B2nk%3D&reserved=0" Health Insurance Premium Payment (HIPP) Program | Department of Vermont Health Access Phone: 1-800-250-8427Website:  HYPERLINK "https://coverva.dmas.virginia.gov/learn/premium-assistance/famis-select" https://coverva.dmas.virginia.gov/learn/premium-assistance/famis-select  HYPERLINK "https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fcoverva.dmas.virginia.gov%2Flearn%2Fpremium-assistance%2Fhealth-insurance-premium-payment-hipp-programs&data=05%7C01%7CClinton.Latisha.M%40dol.gov%7Caa3a5092aeb14ed08af708db81758880%7C75a6305472044e0c9126adab971d4aca%7C0%7C0%7C638246115240341681%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=rI%2BZX53PVAmr9gcvTJt3KrfWxCtIx6VIxQ36deaOXTs%3D&reserved=0" \t "_blank" https://coverva.dmas.virginia.gov/learn/premium-assistance/health-insurance-premium-payment-hipp-programs Medicaid/CHIP Phone: 1-800-432-5924WASHINGTON MedicaidWEST VIRGINIA Medicaid and CHIPWebsite:  HYPERLINK "https://www.hca.wa.gov/" https://www.hca.wa.gov/ Phone: 1-800-562-3022Website: HYPERLINK "https://dhhr.wv.gov/bms/"https://dhhr.wv.gov/bms/  HYPERLINK "http://mywvhipp.com/" http://mywvhipp.com/ Medicaid Phone: 304-558-1700 CHIP Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447)WISCONSIN Medicaid and CHIPWYOMING MedicaidWebsite:  HYPERLINK "https://www.dhs.wisconsin.gov/badgercareplus/p-10095.htm" https://www.dhs.wisconsin.gov/badgercareplus/p-10095.htm Phone: 1-800-362-3002Website:  HYPERLINK "https://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/" https://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/ Phone: 1-800-251-1269To see if any other states have added a premium assistance program since July 31, 2025, or for more information on special enrollment rights, contact either: U.S. Department of Labor U.S. Department of Health and Human Services Employee Benefits Security Administration Centers for Medicare & Medicaid Services  HYPERLINK "https://www.dol.gov/agencies/ebsa" www.dol.gov/agencies/ebsa  HYPERLINK "http://www.cms.hhs.gov/" www.cms.hhs.gov 1-866-444-EBSA (3272)  HYPERLINK 1-877-267-2323, Menu Option 4, Ext. 61565 Paperwork Reduction Act Statement According to the Paperwork Reduction Act of 1995 (Pub. L. 104-13) (PRA), no persons are required to respond to a collection of information unless such collection displays a valid Office of Management and Budget (OMB) control number. The Department notes that a Federal agency cannot conduct or sponsor a collection of information unless it is approved by OMB under the PRA, and displays a currently valid OMB control number, and the public is not required to respond to a collection of information unless it displays a currently valid OMB control number. See 44 U.S.C. 3507. Also, notwithstanding any other provisions of law, no person shall be subject to penalty for failing to comply with a collection of information if the collection of information does not display a currently valid OMB control number. See 44 U.S.C. 3512. The public reporting burden for this collection of information is estimated to average approximately seven minutes per respondent. Interested parties are encouraged to send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employee Benefits Security Administration, Office of Policy and Research, Attention: PRA Clearance Officer, 200 Constitution Avenue, N.W., Room N-5718, Washington, DC 20210 or email  HYPERLINK "mailto:ebsa.opr@dol.gov" ebsa.opr@dol.gov and reference the OMB Control Number 1210-0137. 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