for age and gender for the purchase of a qualifying health insurance plan. The premium assistance may not exceed the actual cost of the qualifying health plan. individual’s Section 386240. To be entitled to the premium assistance, an individual must receive a certificate of eligibility from the Department of Insurance. The department shall develop the form and manner for a person to apply to the department for a certificate and shall make the form readily available to health insurance agents and other persons authorized to sell health insurance in this State. For purposes of determining the federal poverty taxpayer’s level, the department, minimally, shall require a copy of the state income tax return for the prior year and the applicant’s W2 form. The department also shall require the applicant’s applicant to sign a verification under oath, subject to penalties of perjury, that the applicant meets the eligibility criteria for the program pursuant to Section 386250. The department shall implement appropriate safeguards and use available existing resources to verify an uninsured status. The applicant’s department shall pursue the recoupment of premium assistance provided to an individual filing a false application. Section 386250. (A) The department shall issue an applicant a certificate, if the department determines that the person: (1) earns at or less than two hundred percent of the federal poverty level; (2) is a citizen of the United States and has been a resident of this State for the twelvemonth period immediately preceding the application; (3) has not been covered under a health insurance policy for at least twelve consecutive months before the application; (4) is not eligible for or enrolled in Medicare, Medicaid or any other state or federal government health insurance program; (5) has not been awarded premium assistance pursuant to this chapter more than twice; and (6) is between the ages of nineteen and sixtyfour. (B) The department shall issue eligible individuals certificates in the order in the applications are received. The maximum number of eligible individuals receiving premium assistance is reached when the anticipated amount of claims for premium assistance payments reaches ninety percent of the amount of money allocated for premium assistance payments. The director of the department shall establish a waiting list for applicants that are
for age and gender for the purchase of a qualifying health insurance plan. The premium assistance may not exceed the actual cost of the individual’s qualifying health plan. Section 386240. To be entitled to the premium assistance, an individual must receive a certificate of eligibility from the Department of Insurance. The department shall develop the form and manner for a person to apply to the department for a certificate and shall make the form readily available to health insurance agents and other persons authorized to sell health insurance in this State. For purposes of determining the taxpayer’s federal poverty level, the department, minimally, shall require a copy of the applicant’s state income tax return for the prior year and the applicant’s W2 form. The department also shall require the applicant to sign a verification under oath, subject to penalties of perjury, that the applicant meets the eligibility criteria for the program pursuant to Section 386250. The department shall implement appropriate safeguards and use available existing resources to verify an applicant’s uninsured status. The department shall pursue the recoupment of premium assistance provided to an individual filing a false application. Section 386250. (A) The department shall issue an applicant a certificate, if the department determines that the person: (1) earns at or less than two hundred percent of the federal poverty level; (2) is a citizen of the United States and has been a resident of this State for the twelvemonth period immediately preceding the application; (3) has not been covered under a health insurance policy for at least twelve consecutive months before the application; (4) is not eligible for or enrolled in Medicare, Medicaid or any other state or federal government health insurance program; (5) has not been awarded premium assistance pursuant to this chapter more than twice; and (6) is between the ages of nineteen and sixtyfour. (B) The department shall issue eligible individuals certificates in the order in the applications are received. The maximum number of eligible individuals receiving premium assistance is reached when the anticipated amount of claims for premium assistance payments reaches ninety percent of the amount of money allocated for premium assistance payments. The director of the department shall establish a waiting list for applicants that are
3211.docx