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The U.S. Department of Labor (DOL), through its Employee Benefits Security Administration (EBSA) released a new model Employer CHIP Notice.
Background
Under the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), employers with group health plans in states providing premium assistance subsidies must provide an annual notice. This notice can be provided separately or alongside materials on health plan eligibility, open season/election process materials, or the summary plan description (SPD).
Covered Employers
An employer must provide an annual notice if their group health plan covers participants residing in a state with a premium assistance subsidy. The DOL’s model notice is regularly updated to reflect changes in states offering premium assistance subsidies, including information current as of January 31, 2024. Employers can use the model notice or create their own, but they must include relevant state contact information for employees in states with premium assistance.
Employer Resources
The ESBA’s CHIPRA webpage contains the latest model in English and Spanish, a fact sheet, a compliance assistance guide, and other helpful publications. Download the bulletin for more details.
National Insurance Services is not a law firm and no opinion, suggestion, or recommendation of the firm or its employees shall constitute legal advice. Readers are advised to consult with their own attorney for a determination of their legal rights, responsibilities and liabilities, including the interpretation of any statute or regulation, or its application to the readers’ business activities.
