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FEDERALLYREQUIREDNOTICESPACKET ENCLOSEDARETHEFOLLOWINGFEDERALLYREQUIREDNOTICES: SUMMARYOFBENEFITSANDCOVERAGE(SBC)NOTICE CHILDRENSHEALTHINSURANCEPROGRAM(CHIP)NOTICE WASTATEHEALTHEXCHANGENOTICE SUMMARYOFBENEFITSANDCOVERAGE(SBC)NOTICE
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How to fill out chip notice employers must

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How to fill out chip notice employers must

01
To fill out the CHIP notice, employers must follow these steps:
02
- Begin by entering the name and address of the employer in the designated fields.
03
- Provide the name and contact information of the person responsible for coordinating the employer's benefits program.
04
- Indicate the start and end dates of the plan year for which the notice applies.
05
- Specify the contact information for the state Children's Health Insurance Program (CHIP) administrator.
06
- Explain the availability of premium assistance under CHIP and how it may help employees and their dependents.
07
- Describe the option of enrolling in CHIP coverage instead of the employer-sponsored health coverage if it is cost-effective.
08
- Inform employees about the process to request CHIP premium assistance and provide the necessary forms or contact information.
09
- Include a statement about potential penalties for fraudulent actions or intentional misrepresentation of facts related to CHIP premium assistance.
10
- Sign and date the notice to complete the form.

Who needs chip notice employers must?

01
All employers who offer group health insurance coverage to their employees and are subject to the employer shared responsibility provisions of the Affordable Care Act (ACA) must provide CHIP notice to their employees.
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The CHIP notice is a required communication by employers that informs employees about the availability of health coverage options through the Children's Health Insurance Program.
Employers that provide health care plans must file the CHIP notice if they have employees who may be eligible for CHIP.
To fill out the CHIP notice, employers must complete the designated form indicating the availability of CHIP and provide relevant details about the program and eligibility requirements.
The purpose of the CHIP notice is to inform employees about their rights to coverage under CHIP and provide information on how to access the program.
The CHIP notice must report information on eligibility for CHIP, how to apply, and the potential benefits available through the program.
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