• Provides free language services to people whose primary language is not English, such as qualified interpreters
• Information written in other languages
If you need these services, contact Julius Evans. If you believe that the Airports Authority has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with Julius Evans, EEO and Diversity Program Manager, Metropolitan Washington Airports Authority, EEO and Diversity Program Manager, 1 Aviation Circle, Washington, DC 20001-6000; 703-417-8683; EEO. DiversityPrograms @ mwaa. com. You can file a grievance in person or by mail or email. If you need help filing a grievance, Julius Evans is available to help you.
You can also file a civil rights complaint with the U. S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https:// ocrportal. hhs. gov / ocr / portal / lobby. jsf, or by mail or phone at: U. S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D. C. 20201 1- 800-368-1019, 800-537-7697( TDD) Complaint forms are available at http:// www. hhs. gov / ocr / office / file / index. html.
HIPAA Special Enrollment – Medicaid / CHIP
( This notice applies to active employees.)
If you decline enrollment for yourself or for an eligible dependent( including your spouse) while Medicaid coverage or coverage under a state children’ s health insurance program is in effect, you may be able to enroll yourself and your dependents in this plan if you or your dependents lose eligibility for that other coverage. However, you must request enrollment within 60 days after your or your dependents’ coverage ends under Medicaid or a state children’ s health insurance program.
If you or your dependents( including your spouse) become eligible for a state premium assistance subsidy from Medicaid or through a state children’ s health insurance program with respect to coverage under this plan, you may be able to enroll yourself and your dependents in this plan.
However, you must request enrollment within 60 days after your or your dependents’ determination of eligibility for such assistance.
Children’ s Health Insurance Program( CHIP) Notice Premium Assistance Under Medicaid and CHIP
( This notice applies to active employees.)
If you or your children are eligible for Medicaid or CHIP and you’ re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your children aren’ t eligible for Medicaid or CHIP, you won’ t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit www. healthcare. gov.
If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or CHIP office to find out if premium assistance is available.
If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your State Medicaid or CHIP office or dial 1-877-KIDS NOW or www. insurekidsnow. gov to find out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan.
If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you aren’ t already enrolled. This is called a“ special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contact the Department of Labor at www. askebsa. dol. gov or call 1-866-444-EBSA( 3272).
If you live in one of the following states, you may be eligible for assistance paying your employer health plan premiums. The following list of states is current as of July 31, 2024. Contact your State for more information on eligibility.
ALABAMA – Medicaid
Website: http:// myalhipp. com / Phone: 1-855-692-5447
ALASKA – Medicaid
The AK Health Insurance Premium Payment Program Website: http:// myakhipp. com / Phone: 1-866-251-4861 Email: CustomerService @ MyAKHIPP. com Medicaid Eligibility: https:// health. alaska. gov / dpa / Pages / default. aspx
ARKANSAS – Medicaid
Website: http:// myarhipp. com / Phone: 1-855-MyARHIPP( 855-692-7447)
CALIFORNIA – Medicaid
Health Insurance Premium Payment( HIPP) Program Website: http:// dhcs. ca. gov / hipp Phone: 916-445-8322 Fax: 916-440-5676 Email: hipp @ dhcs. ca. gov
COLORADO – Health First Colorado( Colorado’ s Medicaid Program) & Child Health Plan Plus( CHP +)
Health First Colorado Website: https:// www. healthfirstcolorado. com / Health First Colorado Member Contact Center: 1-800-221-3943 / State Relay 711 CHP +: https:// hcpf. colorado. gov / childhealth-plan-plus CHP + Customer Service: 1-800-359-1991 / State Relay 711 Health Insurance Buy-In Program( HIBI): https:// www. mycohibi. com / HIBI Customer Service: 1-855-692-6442
FLORIDA – Medicaid
Website: https:// www. flmedicaidtplrecovery. com / flmedicaidtplrecovery. com / hipp / index. html Phone: 1-877-357-3268
GEORGIA – Medicaid
GA HIPP Website: https:// medicaid. georgia. gov / health-insurance-premiumpayment-program-hipp Phone: 678-564-1162, Press 1 GA CHIPRA Website: https:// medicaid. georgia. gov / programs / third-party-liability / childrens-health-insurance-programreauthorization-act-2009-chipra Phone: 678-564-1162, Press 2
INDIANA – Medicaid
Health Insurance Premium Payment Program All other Medicaid Website: https:// www. in. gov / medicaid / http:// www. in. gov / fssa / dfr / Family and Social Services Administration Phone: 1-800-403-0864 Member Services Phone: 1-800-457-4584
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