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].
