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UPDATED: JUNE 2010
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INCOME ADC-RELATED BUDGETING METHODOLOGY
HEALTH INSURANCE PREMIUMS
RESOURCES ENROLLMENT IN GROUP HEALTH INSURANCE contains information on the eligibility requirement that A/Rs obtain any health insurance available through their employer. When the health insurance is cost-effective and the A/R is below the income level and SSI-related A/R is below the resource level, the local districts may pay the recipient's premium, unless it is an income protection policy.
When a child is covered under a non-applying or ineligible parent’s health insurance policy, the health insurance premium may be paid in full by the local district if the child is otherwise eligible and the premium payment is cost effective. This reimbursement policy does not apply to a non-applying or ineligible parent if the health insurance premium is court-ordered.
When to Verify: (a) When the A/R declares in the application that s/he or other family members are covered by health insurance;
(b)When the A/R declares in the application that s/he or…#
(b) When the A/R declares in the application that s/he or other family members are covered by Medicare, Part A or B;
(c)When the A/R declares in the application that health…#
(c) When the A/R declares in the application that health insurance premiums are being withheld from his/her pay;