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.