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Example 2 The Brown family's heath care renewal is due July 31. The renewal is submitted to the agency on July 31. The agency processes the renewal on August 7. The agency determines that the Brown faimly's monthly income is now over 100% of the FPL. No financial verification is required since all members of the family meet BadgerCare Plus extension eligibility criteria. The Brown family is enrolled in an extension starting August 1. Example 3 The Williams family’s health care renewal is due July 31. The renewal is submitted on August 9. They are not eligible for an extension. Example 4 The Park family's health care renewal is due July 31. The renewal is submitted to the agency on July 5. In the renewal, the Park family reports that their income is below 100% of the FPL. The agency processes the renewal, and the family is required to submit verification of their income by July 31. The family does not submit verification by July 31, but they do submit verification on August 20. The verification they submitted shows their income is actually above 100% of the FPL. The family is enrolled in an extension starting August 1. Children are not subject to health insurance coverage requirements while on an extension. See SECTION 7.1 HEALTH INSURANCE CONDITIONS OF ELIGIBILITY for more information. 18.1.2 Pregnant Women A pregnant woman is able to enter an extension if she was eligible for BadgerCare Plus as a pregnant woman or a parent or caretaker relative at any time during the pregnancy with income at or below 100% of the FPL in three of the past six months. In most cases, her continuous eligibility as a pregnant woman will take precedence over the extension, but the extension will be maintained and will result in eligibility if the pregnancy and postpartum period end prior to the end of the extension. The pregnant woman will remain exempt from the premium requirements through the end of the extension certification period. 18.1.3 Children If the child is in their 12-month continuous coverage period, the child will stay in their current BadgerCare Plus assistance group while their parent(s) enter the extension. The child’s BadgerCare Plus and the parent’s extension renewal dates may or may not align. If the child remains eligible for their existing coverage, they will get a new 12-month continuous coverage period, and their renewal date will align with the parent’s extension renewal date. If the change would move the child to a CHIP category of BadgerCare Plus with a premium, then the child will remain in their current BadgerCare Plus category for the rest of the existing continuous coverage period. Example 4 Jordan and her 10-year-old son Phoenix are enrolled in BadgerCare Plus with income at 95% of the FPL from January 1, 2025, through December 31, 2025. On July 7, 2025, Jordan reports an increase in earned income which places the household at 125% of the FPL. Jordan moves into an extension from August 1, 2025, to July 31, 2026. Phoenix remains eligible for MAGC in BadgerCare Plus and gets a new 12-month certification period from August 1, 2025, to July 31, 2026.
Example 5 Portia and her 8-year-old daughter Jewel are enrolled in BadgerCare Plus with income at 90% of the FPL from January 1, 2025, through December 31, 2025. On May 9, 2025, Portia reports an increase in earned income which places the household at 175% of the FPL. Portia moves into an extension from June 1, 2025, to May 31, 2026. Jewel cannot move from non-CHIP to CHIP BadgerCare Plus during her continuous coverage period, so Jewel remains enrolled in MAGC BadgerCare Plus in the non-CHIP category for the remainder of her current certification period, through December 31, 2025. At renewal, if the income remained the same and Jewel is determined eligible for BadgerCare Plus at 175% of the