Steve Shorr - Covered CA Certified Agent

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Latest & Breaking News, Legislation, Medi-Cal  – Lawfully Present

More than 400,000 immigrants, probably higher as this number is only for HealthCare.Gov, and doesn’t include State Exchanges like, have lost health coverage they selected through the Affordable Care Act’s federal insurance exchange because of unresolved eligibility issues Learn More CA Health Line 9.14.2015    Email us, if you need help in CA proving your eligibility.

Access to care for undocumented varies by county Learn More⇒Los Angeles Times 6.11.2015 

CA might be passing legislation to allow more access to Health Care – Medi-CAL for the undocumented. CA Health Line 1.22.2015

1 in 4 latino’s still uninsured washington

Press Release


Pre-Termination Notices Will Be Sent Today To Fewer Than 11,000 People

SACRAMENTO, Calif. — Covered California announced Monday it has been able to clear the citizenship/lawful presence status of the vast majority of individuals who were sent notices seeking verification documents in September, meaning that pre-termination notices will be sent today to cases involving only 10,474 people.

“While we hope that in the end no one who is eligible loses coverage, we are appreciative that so many individuals submitted documents to verify their citizenship or immigration status, meaning their coverage will remain in place,” Covered California Executive Director Peter V. Lee said. “For the remaining group, we are required by law to begin the process of termination. Even for them, we are establishing processes so they can keep their coverage if they demonstrate their legal status.”

Of the 98,900 families, representing more than 148,000 individuals, who received multiple notices starting in September informing them of the need for citizenship or immigration status verification, 9,645 families did not provide documentation. This means that Covered California is initiating termination processes for the health coverage for the 10,474 people in those families. They will be sent pre-termination notices by Covered California starting today. The notices will give individuals information about how they can have their coverage reinstated if they can prove their citizenship/lawful presence status. Final termination notices will be sent by the health plans in which they enrolled.

Covered California received proof of legal status for more than 82,000 families, representing 130,105 individuals. Covered California continues to review case information involving 6,670 families, including 7,629 people, who have attempted to verify citizenship or immigration status.
Lee emphasized that the lack of verification does not necessarily mean that the individual is not lawfully present, only that Covered California does not have documents it needs to verify their status.

“Our goal is to continue coverage for anyone who is lawfully present,” Lee said. “We are hopeful that anyone receiving these notices will respond by providing appropriate documents so we can work with them to ensure their ongoing eligibility for health coverage,” he said.
In early September, Covered California sent letters to 98,900 families including approximately 148,000 people to resolve eligibility inconsistencies in their 2014 enrollment documents. Consumers were asked to submit documents showing they are lawfully present in the United States as U.S. citizens, U.S. nationals or individuals with eligible immigration status in order to continue their health insurance through Covered California.

Lee praised the many individuals who helped reach out to enrollees, including agents and certified enrollment counselors, to ensure that the needed documents were submitted. Other documents were located during intensive case work by Covered California staff. Lee said the small proportion of terminations also was the product of Covered California’s aggressive outreach via mail, email and outreach to Californians in multilingual interviews with the news media.

“A great deal of intensive work was done in a very short period of time, and we are pleased with the results, although we still have work to do for the individuals getting these notices,” Lee said.

Sample email, when Covered CA has verified that you are lawfully present

Dear Covered California Member,

Thank you for providing Covered California with the verification documents we requested. We have successfully verified your lawful presence status. You are no longer at risk of having your insurance cancelled and you don’t need to do anything else at this time.

What’s next? In October, you will receive a notice from Covered California letting you know it’s time to renew your health insurance. Renewal is a great time to report changes to your application information. You will not be asked to verify your lawful presence status again during the renewal period. The renewal notice will provide further details.

Immigration paperwork does get checked

100k in CA might lose coverage in October if they don’t prove lawful presence.

Undocumented & Uninsured Poster


Dear Steve

I started filling out the form tonight and when I got to my wifes info, she is a naturalized citizen. She was born in the Philipinnes. The form asks for an Alien No and a Naturalization Number, neither of which she has. She said when you become a citizen they take those numbers from you. She has her passport number and SSN.
[Steve Shorr Insurance writes]

I suggest you just state that she is a citizen. Then upload a copy of her passport. In comments tell them their application doesn’t work and this is what you had to do

Is it true, the critique that says that Covered CA is telling illegal immigrants that they can get coverage?

While the Covered CA site doesn’t say undocumented residents can get coverage, it is sure confusing!

Covered CA’s page in Spanish

I don’t really speak Spanish, so we are using google translate

Fear not if you’re undocumented / and want your family to enroll in health insurance

Care Act Affordable Health (ACA ) , the Social Security Act (SSA ) , and implementing regulations set forth the procedures for determining eligibility for coverage in a health plan through authorized insurance market ( Covered California) or via an affordable insurance program . According to the laws and implementing regulations, the information provided by individuals for coverage can not be used for purposes other than ensuring the efficient functioning of the insurance market ( Covered California) or administration of the program, or to verify certain eligibility determinations including verification of the immigration status of these people.

Agency policy
Consistent with the limitations in law Care Affordable (ACA ) , the Social Security Act (SSA ) , and implementing regulations on the use of the information provided by individuals for coverage, and match operational approach to the Immigration and Customs Enforcement (U.S. Immigration and Customs Enforcement , or ICE) , ICE agency does not use information obtained for the purpose of determining eligibility for coverage as a basis for control action civil immigration against such individuals or household members , whether the information is there provided by a federal agency to the Department of Homeland Security ( Department of Homeland Security DHS) for purposes of verifying immigration status , or if the information is provided to ICE by another source

Related, Child & Sibling Pages in Lawful Presence, Medi-Cal, Enrollment Procedures Section

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