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Effective Date: November 1, 2009 November 1, 2009 November 1, 2009 born to mothers enrolled in the AIM Program prior to July 1, 2004 with family income between 200-250% FPL and for infants up to age two with family income between 200-300% FPL.] COUNTY CHILDREN’S HEALTH INSURANCE PROGRAM (C-CHIP) Effective November 1, 2009, a premium increase in the HFP impacted families above 150% FPL through 250% FPL. The new HFP Category C premiums are $21 - $24 per month per child with a maximum of $63 - $72 per family. San Francisco, San Mateo, Santa Clara and Alameda County health plans are the designated community provider plan (CPP) in the Healthy Families Program and therefore their Healthy Families Program premiums are $21 per month per child with a maximum of $63 per family in Category C. As in the Healthy Families Program the C-CHIP offers a premium discount option. If three months of premiums are paid in advance, the fourth month is free. The C­ CHIP Programs use the HFP Category C premiums and increased their premiums to the HFP Category C levels as of November 1, 2009. San Francisco County charges annual premiums at $189 per child per year. Like the Healthy Families Program, San Francisco County also has a discount program. When an applicant pays $189 per child per year, this is equivalent to $21 per child per month with three months free. Santa Clara County charges monthly premiums at $21 per child per month with a maximum of $63 per family per month. As in the Healthy Families Program, subscribers of Santa Clara County’s Healthy Kids Program can pay three months in advance and get the fourth month free. San Mateo charges a quarterly premium of $63 per child; this is equivalent to Healthy Families Program’s $21 per child per month. San Mateo County also offers the same discount program. If three quarter’s premiums are paid in advance the fourth quarter is free. Alameda County has not yet implemented their participation in C-CHIP. San Francisco, San Mateo and Santa Clara Counties offer a Sponsorship Program or family contribution assistance program. The funding for Approval Date: HFP Family Contribution Increase HFP Co-Payment Increase HFP Limited Dental Plan Choice for New Subscribers

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