California DHCS 9061: California Health Insurance Premium Payment (HIPP) Program Notice
Entity Mandating Notice: California Department of Health Care Services (DHCS)
Applicability: Employers with 20 or more employees.
Obtaining this Notice: The DHCS provides a copy of the notice in .pdf format.
Distribution Specifications: An employer should provide a copy of this notice to terminated employees prior to or immediately upon termination.