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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DHCS9119
for the current year.
Form DHCS9119 Health Insurance Premium Payment (HIPP) Program Release of Information - California
What Is Form DHCS9119?
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 the DHCS9119 Health Insurance Premium Payment (HIPP) Program?
A: The DHCS9119 Health Insurance Premium Payment (HIPP) Program is a program in California that helps eligible individuals pay for their health insurance premiums.
Q: Who is eligible for the DHCS9119 HIPP Program?
A: Eligibility for the DHCS9119 HIPP Program in California is determined based on certain criteria, including income and household size.
Q: What does the DHCS9119 HIPP Program do?
A: The DHCS9119 HIPP Program in California provides financial assistance to eligible individuals to help them pay for their health insurance premiums.
Q: How does the DHCS9119 HIPP Program work?
A: The DHCS9119 HIPP Program works by reimbursing eligible individuals for a portion of their health insurance premiums.
Q: How do I apply for the DHCS9119 HIPP Program?
A: To apply for the DHCS9119 HIPP Program in California, you will need to complete and submit the DHCS9119 Health Insurance Premium Payment (HIPP) Program Release of Information form.
Q: Is there a deadline to apply for the DHCS9119 HIPP Program?
A: There is no specific deadline to apply for the DHCS9119 HIPP Program in California, but it is recommended to apply as soon as possible.
Q: Can I use the DHCS9119 HIPP Program with any health insurance plan?
A: The DHCS9119 HIPP Program in California can be used with a variety of health insurance plans, including employer-sponsored plans and individual plans.
Q: Will the DHCS9119 HIPP Program cover all of my health insurance premiums?
A: The DHCS9119 HIPP Program in California may cover a portion of your health insurance premiums, but it may not cover the full amount.
Q: How long does it take to get approved for the DHCS9119 HIPP Program?
A: The processing time for the DHCS9119 HIPP Program in California can vary, but it typically takes several weeks to receive a decision on your application.
Q: Can I still receive the DHCS9119 HIPP Program if I already have other health coverage?
A: Eligibility for the DHCS9119 HIPP Program in California is based on certain criteria, so it is possible to receive the program even if you already have other health coverage.
Q: Are there any costs associated with the DHCS9119 HIPP Program?
A: There may be some costs associated with the DHCS9119 HIPP Program in California, such as a monthly premium or deductible, depending on your specific health insurance plan.
Form Details:
- Released on September 1, 2015;
- 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 DHCS9119 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
