On-site property manager
Resume:
Proof of Lost Coverage Document
Dear Antonio
Thank you for your request. Below is a summary of your coverage status with us. Group: Old Dominion Frieight Line
Group #: 0704660
Employee Name: Antonio Green
Employee ID: 960419379
What happens when my coverage ends?
When you lose coverage, you can enroll in another health plan that you’re eligible for. This is called Special Enrollment. You need to enroll in a new plan within 30 days after your UnitedHealthcare coverage ends.
What are my options for coverage?
You may be eligible for one or more of the following:
•An individual health benefit plan through the Individual Marketplace. To find out more, go to healthcare.gov.
•COBRA, state continuation or conversion coverage. Please contact your employer to find out more information
•Coverage under a spouse's plan.
If you have questions about this email, please call the toll-free member phone number listed on your health plan ID card. TTY users can dial 711.
Sincerely,
The UnitedHealthcare Team
Members that reside in the state of California, please refer to the following information. Member name Date of birth Coverage period
begin date
Coverage period
end date
Antonio Green 1996-08-11 2015-10-07 2017-01-28
California Residents: Your Health Insurance Choices Are Different. You May Qualify for Free or Low Cost Health Insurance.
Because of changes in federal law, the health insurance you have today may be changing. You can stay with UnitedHealthcare. You also have other choices. These may save you money. You cannot be denied health insurance because you have health problems or a pre-existing condition, and your health insurance premiums cannot be based on your health status. You may also qualify for low cost or free health insurance for yourself or your dependents. Covered California
You can buy health insurance through Covered California. The State of California set up Covered California to help people and families, like you, find affordable health insurance. You can use Covered California if you do not have insurance through your employer, Medi-Cal or Medicare. You must apply during an open or special enrollment period. Your open enrollment can be found at https://www.coveredca.com/.If you have a life change such as marriage, divorce, a new child or loss of a job, you can apply during a special enrollment period. Through Covered California, you may also get help paying for your health insurance:
•Receive tax credits:
You can use your tax credit to help pay your monthly premium.
•Reduce your out of pocket costs:
Out-of-pocket costs are how much you pay for things like going to the doctor or hospital or getting prescription drugs.
To qualify for help paying for insurance, you must:
•Meet certain household income limits
•Be a U.S. citizen, U.S. national or be lawfully present in the U.S.
•Other rules and requirements apply.
Medi-Cal Is Changing Too
Free health insurance is available through Medi-Cal. Medi-Cal is California’s health care program for people with low incomes. Starting in 2014, you can get Medi-Cal if:
•You are less than 65 years old
•Your income is low
•You are a U.S. citizen, U.S. national or lawfully present in the U.S. Your eligibility is based on your income. It is not based on how much money you have saved or if you own your own home. You do not have to be on public assistance to qualify for Medi-Cal. You can apply for Medi-Cal anytime.
To qualify for Medi-Cal if you are over 65, disabled or a refugee, other rules and requirements apply.
For More Information
To learn more about Covered California or Medi-Cal, visit www.CoveredCA.com or call a toll free telephone number: Main Phone #: 800-***-****. You can also call or visit your county social services office.
Visit myuhc.com® to view your claims and Explanation of Benefits statements, look up benefits, update account information, find a physician or facility or learn more about healthy living. Registration is easy and gives you access to useful tools and information to help you take charge of your health and health care.
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