The Children’s Health Insurance Program Reauthorization Act (CHIPRA)
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A state Children’s Health Insurance Program (CHIP) generally provides health insurance for children whose families cannot afford private health care but do not qualify for Medicaid. The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) expanded CHIP coverage by providing additional special enrollment rights related to group health plan coverage. Group health plans must permit employees and dependents who are eligible for, but not enrolled in, a group health plan to enroll in the plan upon:
Losing eligibility for coverage under a state Medicaid or CHIP program; or
Becoming eligible for state premium assistance under Medicaid or CHIP.
CHIPRA also permits states to offer eligible low-income children and their families a premium assistance subsidy to help pay for employer-sponsored group health coverage and imposes notice obligations for employers that maintain group health plans.
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