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Alert: The CCPU Reimbursement portal is down due to the CrowdStrike outage – There is currently no ETA on resolution. This impacts providers and staff. Please check back Monday! Until then, we are available to answer eligibility and non-claims related questions. No impact to CCPU debit card usage or CCPU application portal.

Eligibility

Our Eligibility Questionnaire will help you determine if you meet the requirements to apply for benefits.

Determine Your Eligibility

Need Help to Enroll in a Qualified Health Insurance Plan?

Resources are available to help you enroll in a qualified health insurance plan, depending on which plan you’re eligible for.

Initial Eligibility Criteria

1. You must have worked with a subsidized child for three months out of the last six months.

When you apply for the first time, your work record must show that you worked with a subsidized child for at least three months out of the last six months.

What are the eligibility criteria?

Quarter 1 2 3 4
Initial Eligibility Review Period for 3 of 6 Months of Work with a Subsidized Child April 2023 – September 2023 July 2023 – December 2023 October 2023 – March 2024 January 2024 – June 2024
Application Deadline March 31, 2024 June 30, 2024 September 30, 2024 December 31, 2024
Benefit Eligibility Period January 1, 2024 – March 31, 2024 April 1, 2024 – June 30, 2024 July 1, 2024 – September 30, 2024 October 1, 2024 – December 31, 2024
Ongoing Eligibility Review Period for 1 of 3 Months of Work with a Subsidized Child July 2023 – September 2023 October 2023 – December 2023 January 2024 – March 2024 April 2024 – June 2024

What Is a Subsidized Child?

A subsidized child is a child for whom a family receives government-sponsored financial assistance expressly intended to pay for child care. This means that your fee for child care is reimbursed in whole or in part through a qualified state-funded program. Local or county-funded assistance programs do not count toward qualifying for the benefit.

2. You must be enrolled in a qualified health insurance plan.

When you apply, you must show proof that you are enrolled in one of the qualified health insurance plans listed below. If you’re not currently enrolled in one of the plans below, you can enroll in one and then be eligible for the benefit.

 

Qualified health insurance plans:

If you are eligible for: You must enroll in (or already be enrolled in):
Medi-Cal Medi-Cal
Covered California Silver-level HMO plan on Covered California*
Medicare or Medicare Advantage Medicare or Medicare Advantage
Both Medicare and Medi-Cal Both Medicare and Medi-Cal
Veterans Administration (VA) health care benefits VA health care benefits
TRICARE TRICARE
Employer-sponsored health insurance plan as an eligible employee Your employer’s plan
Employer-sponsored health insurance plan as an eligible dependent (the plan from your spouse’s employer) Your spouse’s employer’s plan OR Silver-level HMO plan on Covered California*

Contact the Fund Office for help: 

  • If you are not insured under a qualified health insurance plan right now. You can enroll in one in order to become eligible to apply for CCPU benefits.
  • If you are not eligible for any of the plans listed above, or if you are an undocumented worker.
  • You must complete and submit a CCPU Health Care Fund application.

Ongoing Eligibility 

After your initial eligibility period, you must maintain your status by continuing to care for a subsidized child in at least one month out of the three months before your eligibility period:

To continue eligibility from: Lookback period:
April 1 – June 30 You must work with a subsidized child from October 1 through December 31 of the prior year.
July 1 – September 30 You must work with a subsidized child from January 1 through March 31 of the current year.
October 1 – December 31 You must work with a subsidized child from April 1 through June 30 of the current year.
January 1 – March 31 You must work with a subsidized child from July 1 – September 30 of the previous year.

The Fund will monitor your ongoing eligibility for you. However, at the end of each year, you will need to provide proof of coverage under a qualified health insurance plan for the following year.

Grace Period

Because we understand that the roster of children under your care may change and you may go months without a subsidized child under your care, this program will grant you one grace period spanning one quarter (three months) per benefit year to allow time to continue your eligibility by obtaining new subsidized children. 

If you are unable to continue working with a subsidized child by the fourth month, you will no longer be eligible for the program and your benefits will end. To regain eligibility, you must meet the initial eligibility requirements again.  

Multiple Providers on One License  

At this time, the CCPU Health Care Fund covers only one provider per license—on a first-come, first-served basis. That means the first provider listed on the license to apply and meet the eligibility requirements will be the only one eligible to enroll in the program. We understand that some providers may have multiple individuals listed on their license, and we’re working to expand the program to cover more providers in the future.  

Losing Coverage  

Losing CCPU Health Care Fund benefits does not mean that you are losing your medical insurance coverage. However, at the end of your grace period quarter, your debit card will be turned off, and you will be responsible for paying your own premiums and out-of-pocket medical expenses.  

We understand that circumstances may change, and we want to ensure that you’re aware of the requirements to remain eligible for the program. If you have any questions or concerns about maintaining your eligibility or accessing the CCPU Health Care Fund benefit, our dedicated customer service team is available to assist you. Please don’t hesitate to contact us at (833) 714-6028 or send an email to [email protected].

Am I eligible for CCPU Heathcare Reimbursement Fund benefits?

Answer these simple questions to determine your potential program eligibility.

CCPU Health Care Fund

By signing up, you agree to our privacy policy and terms of use.

To complete your application online, you’ll need proof of coverage for your health plan (a document showing your name as the policyholder, the name of your insurance plan, the coverage period, and the amount you pay for coverage).

If you don’t have an account for the CCPU Health Care Fund portal, you can sign up now with your email address and mobile phone number.

Questions? Call (833) 714-6028 or email [email protected].