Apply

Apply

So, how do I sign up?

You're ready to apply - great! Before you do, you will need the following information handy to apply:

• Income amounts for your entire household before taxes - this includes income from employment and all other forms of income (for example - social security, pension, workers' compensation, unemployment, child support, etc)
• Social Security Numbers and birthdates for all applicants
• Day care expenses for your household (if any)
• Work transportation expenses for your household (if any)
• Private health insurance information (if you have or had private health insurance in the last six months)

CHIP offers three easy ways for you to apply, and they can all be done in the privacy of your own home.

APPLY BY PHONE

Call 1-800-986-KIDS to request that an application be sent to you be mail. Or, a CHIP counselor can take your information over the phone, fill out the application for you and submit it electronically.

APPLY BY MAIL

Download an application, fill it out and then mail it back to the insurance company you've selected to provide your child's CHIP coverage. If you have any questions while completing the application, call us at 1-800-986-KIDS. We're happy to help.

No matter how you apply for CHIP, you'll need to mail your proof of income (such as a copy of a pay stub, a tax return or a letter from your employer). We cannot process your application until we get all of your information. And don't forget to sign your application!

Once we have your application and proof of income, you should know within four to six weeks whether your children are eligible for CHIP. After you're notified, coverage will usually start on the first day of the next month. For example, if you receive notice on April 15th, coverage would start May 1st.

To check the status of your application, you can contact the health insurance company you selected. To find their phone number, click here.