Chip Model Notice: If your group health plan covers residents in a state that provides a premium subsidy, you must send an annual notice about the available assistance to all employees residing in that state. This document notifies employees who lose Medicaid or Chip eligibility or who become eligible for state premium subsidy of special plan and enrollment rights.
Click on the link below for more information.
http://www.monroeps.org/pages/monroeps/Departments/Human_Resources/Annual_Notices_Required_by_DOL/Chip_Model_Notice