Wake North Carolina Affidavit of No Coverage by Another Group Health Plan is a legal document used to certify that an individual or their dependents are not currently covered by any other group health plan. This affidavit is required by Wake North Carolina for eligibility determination in state-sponsored health insurance programs. The Wake North Carolina Affidavit of No Coverage by Another Group Health Plan is essential to ensure that individuals are not double-covered under multiple health insurance policies, preventing fraud and misuse of taxpayer funds. It serves as a verification process to guarantee that individuals are only enrolled in a single group health plan. There are several variations of the Wake North Carolina Affidavit of No Coverage by Another Group Health Plan, depending on the specific program or insurance provider. Some common types include: 1. Wake North Carolina Medicaid Affidavit of No Coverage by Another Group Health Plan: This particular form is used by individuals seeking enrollment in the Medicaid program provided by Wake North Carolina. It is necessary to establish that the applicant is not currently covered by any other group health plan. 2. Wake North Carolina Health Insurance Exchange Affidavit of No Coverage by Another Group Health Plan: This form is required by Wake North Carolina's Health Insurance Exchange program, also known as the Marketplace. It is used to determine eligibility for subsidized health insurance plans offered through the Exchange. 3. Wake North Carolina Children's Health Insurance Program (CHIP) Affidavit of No Coverage by Another Group Health Plan: Intended for families with children, this form is required when applying for the CHIP program in Wake North Carolina. It ensures that the child is not already covered by any other group health plan. The Wake North Carolina Affidavit of No Coverage by Another Group Health Plan may vary slightly in format and specific requirements, but the purpose remains the same — to verify that the applicant is not covered by any other group health plan. It is crucial to provide accurate information on the form to avoid any potential issues with eligibility and to ensure that resources are properly allocated to those in need.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.Wake North Carolina Declaración jurada de no cobertura por otro plan de salud grupal - Affidavit of No Coverage by Another Group Health Plan
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FAQ
Como encontrar su 1095-A cuando inicie sesion en su cuenta del Mercado Haga clic en su nombre en la esquina superior derecha, despues seleccione "Mis solicitudes y cobertura". Seleccione la solicitud del ano que coincida con su declaracion de impuestos.
Comunica que quieres dar de baja el seguro de salud Comunica la cancelacion del seguro medico por escrito.No olvides la fecha de la cancelacion.Datos del asegurado y del seguro.Solicita la cancelacion de la domiciliacion del seguro.Revision de las condiciones de la poliza.Seguros de salud de empresa.
Cancelacion Voluntaria El afiliado puede solicitar la cancelacion del plan: 787-620-2397 (Area Metro) 1-866-333-5470 (Libre de cargos) 711 TTY (Audioimpedidos)
Puede cambiar a su proveedor de atencion primaria a traves de su portal de su cuenta de My Member. Community hara el cambio en un plazo de 24 a 72 horas. La fecha de vigencia sera el proximo mes. Tambien puede solicitar el cambio de su proveedor a traves del chat o puede llamar al numero gratuito 1.888.760.2600.
El formulario 1095-A le brinda informacion sobre el monto del credito tributario anticipado para las primas (APTC) que se pago durante el ano a su plan de salud para reducir su prima mensual. Esta informacion tambien fue reportada al IRS.
Vaya a ncmedicaidplans.gov. O llamenos al 1-833-870-5500 (Numero de TTY: 1-833-870-5588), de lunes a sabado de 7 a.m. a 5 p.m. Podemos hablar con usted en otros idiomas.
El Formulario 1095-C provee informacion acerca de la cobertura medica ofrecida por su empleador y, en algunos casos, acerca de si usted se inscribio en cobertura. Use el Formulario 1095-C (en ingles) para ayudarle a determinar su elegibilidad para el Credito tributario de prima.
Aun puede cambiar de plan de salud para 2022 solo si califica para un Periodo Especial de Inscripcion debido a un evento en la vida como perder otra cobertura, casarse o tener un bebe.
Como cambiar de plan medico Para cambiar de un plan medico, llame a Health Care Options al 1-800-430-3003 (Numero de TTY 1-800-430-7077). O puede llenar un Formulario de eleccion de Medi-Cal.
