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Application for Texas Health Insurance Premium Payment (HIPP) Program. Print in blue or black ink only. Step 1. Tell us about the person in your family who can get health insurance at work (or another place). Step 2. Tell us about the health insurance or COBRA benefits the person in Step 1 can get. COBRA is a type of health insurance you can ...
- HIPP
HIPP is the Texas Medicaid program that helps families pay...
- HIPP
HIPP is the Texas Medicaid program that helps families pay for employer-sponsored health insurance premiums. It is for families with at least 1 person who gets Medicaid. People enrolled in any Medicaid program, except for the Children's Health Insurance Program (CHIP) and STAR Health managed care program, are eligible to enroll in HIPP.
Form 5020, Application for Texas Health Insurance Premium Payment (HIPP) Program. Instructions for Opening a Form. Some forms cannot be viewed in a web browser and must be opened in Adobe Acrobat Reader on your desktop system. Click here for instructions on opening this form. Documents. Effective Date: 7/2017. 5020.pdf.
How Do I Apply for HIPP for My Family? You can apply for HIPP online. Or you can print out the form and either fax it to 1-866-409-1188 (toll-free) or mail it to: GET HIPP TEXAS P.O. Box 201120 Austin, TX 78720-9774. You will also need to submit your employer’s insurance policy’s Summary of Benefits and Rate Sheet with your application.
Persons with Disabilities License Plate: Submit the completed application and payment (if required) in the form of a personal check, money order, or cashier’s check with proof of eligibility to your local county tax assessor-collector’s office.
You may apply for a disabled parking placard and/or disabled veteran license plate at the office of your local county tax assessor-collector: For a disabled parking placard, download the Application for Persons with Disabilities Parking Placard and/or License Plate (Form VTR-214).
2 kwi 2022 · To apply for a disability parking pass, you must complete the following steps: If you're applying in person, you must book an appointment beforehand via your state's DMV website. Fill out the Part A of the application form — you can choose either the permanent permit or temporary permit.
