EEs & CAAs
- Contact Information
- Reference Manual
This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).
Premium Re-Evaluation Forms
If a family's income has dropped, they do not have to wait for their next Annual Eligibility Review (AER) to find out if they are eligible for lower premiums. By submitting a Premium Re-Evaluation Form, the Healthy Families Program (HFP) will review their documentation and determine if their premiums can be lowered OR if they might now be eligible for no-cost Medi-Cal. This review will NEVER cause the family an increase in premiums or cause them to lose their HFP coverage due to income being too high. For more information on Premium Re-Evaluations, please refer to the June 2006 edition of the EE/CAA Newsletter (pdf 338 KB).
A Premium Re-Evaluation Form can be downloaded from the HFP website. A form can also be requested by calling 1-866-848-9166.