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This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).
Pre-Existing Condition Insurance Plan (PCIP) Eligibility When Moving From Another State to California
(Posted on 08/03/11)
When former Pre-Existing Condition Insurance Plan (PCIP) subscribers from other states’ PCIP programs are disenrolled because they moved out of state, transfer of their PCIP eligibility to the Golden State’s PCIP is easy!
To successfully transfer eligibility, former PCIP subscribers from other states’ PCIP programs who were disenrolled because they moved out of state need to:
- Apply to the California’s PCIP within six (6) months after disenrollment from their previous state’s PCIP program and complete the required PCIP application. If an application is incomplete and /or missing documentation, the approval process will be delayed and coverage may be denied.
- Provide a copy of the Certificate of Creditable Coverage letter or disenrollment letter that was issued by their former state’s PCIP. The letter must:
- Identify the start date and end date of the coverage: and
- The disenrollment reason.
When applying to transfer their PCIP eligibility to CA, subscribers from another state’s PCIP program are not required to submit documentation demonstrating:
- Proof of a pre-existing condition;
- They are a U.S. Citizenship or National; or
- They are lawfully present in the U.S.
Upon approval to transfer their PCIP eligibility, the CA PCIP will send the applicant requesting transfer of eligibility a letter of enrollment.