Page 35 - American Advisors Group Benefit Guide 2_NonCA

EMPLOYEE BENEFITS 35

IMPORTANT NOTICES

NORTH CAROLINA – Medicaid TEXAS – Medicaid
https://medicaid.ncdhhs.gov/ http://gethipptexas.com
919.855.4100 800.440.0493
NORTH DAKOTA – Medicaid UTAH – Medicaid and CHIP
http://www.nd.gov/dhs/services/medicalserv/medicaid Medicaid: https://medicaid.utah.gov
844.854.4825 CHIP: http://health.utah.gov/chip
OKLAHOMA – Medicaid and CHIP 877.543.7669
http://www.insureoklahoma.org VERMONT – Medicaid
888.365.3742 http://www.greenmountaincare.org
OREGON – Medicaid 800.250.8427
http://healthcare.oregon.gov/Pages/index.aspx VIRGINIA – Medicaid and CHIP
http://www.oregonhealthcare.gov/index-es.html Medicaid: http://www.coverva.org/programs_premium_assistance.cfm
800.699.9075 800.432.5924
PENNSYLVANIA – Medicaid CHIP: http://www.coverva.org/programs_premium_assistance.cfm
http://www.dhs.pa.gov/provider/medicalassistance/healthinsurancepremiumpaymenthippp 855.242.8282
rogram/index.htm WASHINGTON – Medicaid
800.692.7462 https://www.hca.wa.gov/
RHODE ISLAND – Medicaid 800.562.3022, ext. 15473
http://www.eohhs.ri.gov WEST VIRGINIA – Medicaid
855.697.4347 or 401.462.0311 (Direct RIte Share Line) http://mywvhipp.com/
SOUTH CAROLINA – Medicaid 855.MyWVHIPP (855.699.8447)
http://www.scdhhs.gov WISCONSIN – Medicaid and CHIP
888.549.0820 https://www.dhs.wisconsin.gov/publications/p1/p10095.pdf
SOUTH DAKOTA – Medicaid 800.362.3002
http://dss.sd.gov WYOMING – Medicaid
888.828.0059 https://wyequalitycare.acs-inc.com/
307.777.7531

To see if any other states have added a premium assistance program since July 31, 2019, 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
www.dol.gov/agencies/ebsa www.cms.hhs.gov
866.444.EBSA (3272) 877.267.2323, Menu Option 4, Ext. 61565

OMB Control Number 1210-0137 (expires 12/31/19)