Form MC338 J Premium Differential Work Sheet in the 250 Percent Working Disabled Program - California

Form MC338 J Premium Differential Work Sheet in the 250 Percent Working Disabled Program - California

What Is Form MC338 J?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MC338?
A: Form MC338 is the Premium Differential Work Sheet.

Q: What is the 250 Percent Working Disabled Program?
A: The 250 Percent Working Disabled Program is a program in California that provides health coverage to disabled individuals who are employed and have income above the Medi-Cal limits.

Q: What is the purpose of Form MC338?
A: The purpose of Form MC338 is to calculate the premium difference for individuals enrolled in the 250 Percent Working Disabled Program.

Q: Who is eligible for the 250 Percent Working Disabled Program?
A: Disabled individuals in California who are employed and have income above the Medi-Cal limits may be eligible for the 250 Percent Working Disabled Program.

Q: What does the Premium Differential Work Sheet calculate?
A: The Premium Differential Work Sheet calculates the difference in premium amounts between the 250 Percent Working Disabled Program and other health coverage options.

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Form Details:

  • Released on May 1, 2007;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MC338 J by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC338 J Premium Differential Work Sheet in the 250 Percent Working Disabled Program - California

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