All Medicaid Programs |
Obsolete Policy |
This program provides a reimbursement for all or part of the insurance premium paid by an employee for an employer-sponsored health insurance plan or COBRA that covers the employee, his spouse and/or children. (See 1007 for reimbursement effective dates.)
For medical insurance, the reimbursement for each person will not exceed the actual monthly cost of coverage for that person. The amount paid for an eligible person will be:
Up to $300.00 for each adult’s portion of the premium.
Up to $120.00 for each child’s portion of the premium.
Do not reimburse contributions made by the individual or their employer to an HSA or FSA account. See section 348-3.2 for HSA and FSA definitions.
If the employer offers dental insurance, or it is available through COBRA, families will receive an additional payment of $20.00 for each child to pay for this coverage if the children are enrolled in the dental coverage. The actual cost of the dental insurance does not matter. If there is no employer-sponsored dental insurance available, the children are not enrolled in the employer-sponsored dental coverage, each child will receive a dental benefit through the CHIP program.
A check for the amount of the reimbursement will be sent to the household within 2 weeks of the first of the month. If more than one person is eligible, only one check will be sent for the combined amount.
Continue the UPP reimbursement during a due process month(s). (See Glossary and 1008-1)