Health Care Kit 1

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- Health Care Socials Are Easy and Fun!!! -

• Step 1: Let us know you want to host a Healthcare Social

• Step 2: Set your guest list

• Step 3: Decide on your Social goal

• Step 4: Invite your guests and follow up

• Step 5: Plan your Social

• Step 6: Time to Socialize and Sign People Up!

• Step 7: Tell Us About Your Success

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- Table of Contents -

Table of Contents 2

Social Success in Seven Easy Steps! 3

Social Sign-Me-Up Form 4

My Brainstorming Guest List 5

Sample Invitation 6

Creating a Digital Invitation 7

Social Planning Guide 8

Social Checklist 9

It’s Easy to Host a HealthCare Social! 10

Social Guest Sign-In Sheet 11

Guest Host Sign-Up Form 12

Volunteer Sign-Up Form 13

Setting up a Sign-In Station 14 Appendix I 15 Appendix II 23

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- Social Success in Seven Easy Steps! - • Step 1: Let us know you want to host a Healthcare Social

• Fill out the Social Sign-Me-Up Form on Page 5 or visit us online at

http://www.coveredcacoversus.com. We will work with you to make sure hosting is fun and easy.

• Step 2: Set your guest list

• Start with people you know: friends, family, neighbors, and co-workers. Use the “My Brainstorming Guest

List” on Page 6 to think of whom to invite and to keep track of them. Remember to invite more people

than your goal because not everyone will be able to attend. If you want 20 people, invite 40.

• Step 3: Decide on your goal

• We are asking you to think of people who may be eligible for Covered California or MediCal and commit

to a goal of helping at least half of your eligible guests sign up for healthcare. See the FAQ in Appendix I

(or visit

http://www.healthexchange.ca.gov/Documents/Eligibility%20for%20Individuals%20and%20Families_PG_8.2

9.13_Final.pdf) to see who is eligible for Medi-Cal. You can also see Page 11 for tips on meeting your

goal(s).

• Step 4: Invite your guests and follow up

• Once your guest list is determined, send out your invitation using our tips on pages 7 and 8 or design a new

one. If your Social is open to other Health Care supporters who want to attend a Social, please let us

know. Don’t forget to see if a Certified Enrollment Counselor can come to your Social to help you meet

your goal for enrollment!

• Step 5: Plan your Social

• Determine how much food and drinks you will need. Will you have a theme? See our fun theme ideas in

Appendix II. Use our Social Planning Guide on page 9 to assist you.

• Step 6: Time to Socialize and Sign People Up!

• On the day of your Social, have a check-in table and use the Social Guest Sign-In Sheet on page 12 to

sign guests in. Sign-Up forms on pages 13 and 14 help us find other people willing to host a Social. During

the Social, show your support for health care by talking about your experience having health care and

have others do the same. Call in to the conference call or Skype to hear from other Socials. Most

importantly, have fun!

• Step 7: Tell Us About Your Success

• After your Social, let’s connect. It’s important for you to send us the sign-in information and the volunteer

sheets your guests have filled out. Please visit us online at http://www.coveredcacoversus.com or use the

contact information below within two days of your Social to tell us how it went.

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- Social Sign-Me-Up Form -

CELEBRATE WITH A HEALTHCARE Social! Yes! I want to host a HealthCare Social and introduce my friends, family, co-workers and neighbors to

Covered California and MediCal! Sign me up!!

Name: ______________________________________________________________________

Location of Social (Address):

____________________________________________________________________________

City & Zip: _____________________________ Fax: __________________________________

Daytime Phone: ________________________ Evening Phone: _________________________

Email: ________________________________________

Do you want your event open to the public (Yes/No)?: ____________

How many people do you plan to invite?: __________

How many people do you plan to sign up for Covered CA?: __________

Do you own a phone with speakerphone capability (Yes/No)? _________

Do you own a computer with an internet connection (Yes/No)? __________

By hosting a Health Care Social, you agree to the following rules:

As a Host, I acknowledge that I am volunteering my time and efforts, but am not otherwise affiliated

with Covered California or the California Endowment.

Signature: _________________________________________

Today’s Date: _______________________________________

If you have any questions, comments, or suggestions for us, please use the space below:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Please e-mail, fax, or mail this form to:

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- My Brainstorming Guest List - Start with your friends, family, colleagues, the other parents in your child’s play group, church

friends, your religious leaders, buddies from poker/spades night, in-laws, hairdressers/barbers

(the only one you trust with your hair) and neighbors!

Don’t forget to go through your contacts on your phone and look at your connections on Facebook, Twitter,

and any other social media accounts! Don’t forget, we want you to have at least 10 people at your Social, so

be sure to invite more so you can make sure you hit your goal. You want 10 people, invite at least 20!!!

Once you fill this page, grab more paper and keep going!

One Last Tip: After you have finished your list on this page, have someone else go through it to see if they can

think of anyone else to add.

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- Sample Invitation -

[Your Name] and [Any Co-Hosts Name(s)] Cordially invite you to a very special

(INSERT THEME HERE)

HealthCare Social!

[Event Date] [Event Time] [Event Address]

RSVP Required

For more information or to RSVP

Please call [YOUR NAME] (xxx) xxx-xxxx

or email at

[insert email address]

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- Creating a Digital Invitation - It’s easy to invite people using the Internet!

• Use a free electronic invitation website like www.evite.com.

• Create a Facebook event • Draw out an invitation, take a picture of it, and use

Pinterest or Instagram to send it to your guests • Pick one of the following hashtags to advertise

your Social on Twitter (or invent your own!): • #CoveredCACoversUS • #CoveredCA • #HealthCare • #Obamacare • #HCSLA • #HealthCareSocialLA • #ObamacareSouthLA

Sample Invitation Text:

[Your Name] and [Any Co-Hosts Name(s)]

cordially invite you to a very special

[INSERT THEME HERE]

HealthCare Social!

[Event Date] [Event Time] [Event Address]

RSVP Required

For more information or to RSVP

Please call [YOUR NAME]

(xxx) xxx-xxxx

or email at

[insert email address]

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- Social Planning Guide -

Social Host Name: Co-Hosts (Optional): Telephone: Date of Social: Time:

Don’t Forget Sign-In

Sheets, Volunteer Sheets, and TO HAVE FUN!!!

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- Social Checklist - Planning the Social

Choose the theme of your Social (look at our theme ideas for inspiration).

Write down why you’re planning this Social

Set a Social budget.

Set the date.

Prepare your guest list (use the “Brainstorming Your Guest List” sheet).

Mail or e-mail invitations, or call guests to invite them.

Prepare Covered California talking points.

Choose your menu. Remember you don’t need anything fancy, chips and dips will do.

Prepare any food that can be frozen and thawed in advance.

The Days Just Before the Social

Purchase drinks.

If you’re throwing a potluck let your guests

know what to make.

Make sure you have enough dishes and

serving utensils.

Contact guests who have not yet RSVP’d to

see if they plan to attend

Review Covered California talking points

Choose your outfit

The Day of the Social

Chill any drinks that need to be cold.

Finish preparing food.

Play games and/or skits around ways to dispel some of the myths and rumors about

Obamacare and Covered California.

Vine, Tweet, Instagram & Facebook your event. Don’t forget to use the #coveredcacoversus or

#coveredca

Remember to have fun and enjoy your Socialy!!!

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- It’ s Easy to Host a HealthCare Social! - We encourage House Parties to sign up at least half of their guests for Covered California

or Medi-Cal. The parties that are the most creative, bring in the most people, or sign up

the most for Covered California will receive a prize.

Here are some scenarios on how to achieve your goal in three weeks:

5 People Signed Up = 10

Guests


Guests


Guests

Strategy: 3-4 guests a week Strategy: 4 guests a week Strategy: 5 guests a week

Get 3 family members Get 4 family members Get 5 family members

Get 4 friends Get 4 friends Get 5 friends

Get 3 co-workers/neighbors Get 2 co-workers/neighbors Get 5 co-workers/neighbors

Ask each guest to bring a

friend

Ask each guest to bring a

friend

Tips for Bringing in Guests and Covered California Sign-Ups:

• Sign up for Covered California/Medi-Cal yourself.

• Ask another HealthCare supporter to co-host your Social with you

• Pick a theme and make it fun!

• Email or mail personal invitations to co-workers, friends, family and neighbors.

• Invite members from clubs or groups you belong to.

• Ask your family, friends, neighbors and co-workers to invite their friends and family.

• Invite a local elected official or prominent member of the community to your Social.

• Motivate potential guests by having them visit the [INSERT SITE NAME] website and see where

House Parties are happening across the city.

Healthcare Socials are about more than signing people up for Covered California:

• Healthcare Socials harness the power of local neighborhoods by using local people to help their

friends and neighbors to sign up for both Covered California and Medi-Cal.

• Healthcare Socials help recruit additional Social hosts, new volunteers, and signing guests up for

other ways to support Covered California.

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- Social Guest Sign-In Sheet - (Print as many copies as necessary)

Please note: It is important to fill out all information Last Name: ________________ First Name: ________________ Address: ________________ City/State/Zip: ________________ Day Phone: ________________ Evening/Cell Phone: ________________ Email: ___________________________________________________________ Social Media (Twitter, Facebook, Instagram, etc.) Handle(s): ___________________________ ___________________________________________________________________________ Invited By: ______________________ Please note: It is important to fill out all information Last Name: ________________ First Name: ________________ Address: ________________ City/State/Zip: ________________ Day Phone: ________________ Evening/Cell Phone: ________________ Email: ___________________________________________________________ Social Media (Twitter, Facebook, Instagram, etc.) Handle(s): ___________________________ ___________________________________________________________________________ Invited By: ______________________ Please note: It is important to fill out all information Last Name: ________________ First Name: ________________ Address: ________________ City/State/Zip: ________________ Day Phone: ________________ Evening/Cell Phone: ________________ Email: ___________________________________________________________ Social Media (Twitter, Facebook, Instagram, etc.) Handle(s): ___________________________ ___________________________________________________________________________ Invited By: ______________________ Please note: It is important to fill out all information Last Name: ________________ First Name: ________________ Address: ________________ City/State/Zip: ________________ Day Phone: ________________ Evening/Cell Phone: ________________ Email: ___________________________________________________________ Social Media (Twitter, Facebook, Instagram, etc.) Handle(s): ___________________________ ___________________________________________________________________________ Invited By: ______________________

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Guest Host Sign-Up Form

- Host a HealthCare Social! - This year we need you more than ever!

• Help get the truth about healthcare out to people in homes across Los Angeles;

• Raise the number of people signing up for Covered California and Medi-Cal; and

• Build the momentum needed to get people excited about affordable healthcare

It’s Easy! • Just invite your friends over to have an awesome, memorable get-together.

• Talk with other House Parties (and maybe a special guest!) on the phone or Skype about why

Covered California is so important for our community.

• We will provide you with a complete Social kit that includes everything you need to make

throwing a HealthCare Social easy and successful!

• To sign-up, just fill out the form below or email your contact information to [INSERT E-MAIL]

CELEBRATE WITH A HEALTHCARE SOCIAL!

Yes! I would like to host a HealthCare Social and introduce my friends, family, co-workers and neighbors to Covered California and Medi-Cal!

Name: ______________________________________________________________________

Address: ____________________________________________________________________

City & Zip: __________________________ County: __________________________________

Home Phone: __________________________ Work Phone: ___________________________

Fax: __________________________ Email: ________________________________________

Referred By: _________________________________________________________________ ____________________________________________________________________________

If you have any questions, comments, or suggestions, please contact us at:

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- Volunteer Sign-Up Form –

The Volunteer Network is the grassroots campaign to support healthcare in the

Golden State. To join, just fill out this form and pledge to take action to help Covered

California this year. To be successful, we need at least [INSERT NUMBER] volunteers in our

network by [INSERT DATE] so please sign up today!

I pledge to take the following actions in Los Angeles to help support California HealthCare:

• Join the Volunteer Network in Los Angeles County

• Email my friends and direct them to sign up for Covered California on

www.coveredca.com

• Participate in HealthCare House Parties and other events

• Help others sign up for Covered California in my area

• Help others sign up for Medi-Cal in my area

• Host a Health Care Social

• Write Letters to the Editor to my local paper about what healthcare means to me

• Call Radio Shows in my area

I prefer to be contacted by… Email: _____ Phone: ______

Last Name: ________________ First Name: ________________

Address: ________________ City/State/Zip: ________________

Day Phone: ________________ Evening/Cell Phone: ________________

Email: ___________________________________________________________

Social Media (Twitter, Facebook, Instagram, etc.) Handle(s): ___________________________

___________________________________________________________________________

Please mail or fax this form to:

You can also submit this form online at www.coveredcacoversus.com.

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- Setting up a Sign-In Station - To help you meet your goal of signing half of your guests up for Covered California and

MediCal, you may want to think about setting up a sign-in station.

If you have internet access…

• Remind your guests to bring the following information:

! Number of people being enrolled including the birth date of each person

! Social Security numbers for each family member

! Home ZIP code

! Most recent income tax filings, including dependent tax information and head-of-household status (if any)

! Legal immigration information, such as your immigration number

! Information about your status as a member of a federally recognized tribe

• See if a certified enrollment counselor can attend your Social by visiting https://www.coveredca.com/enrollment-

assistance/ and using the “Find an Enrollment Counselor” feature.

• Invite guests who have already signed up for Covered California and/or MediCal and ask them to share their experience

• Set up a computer in a semi-private space.

• Bring up the following webpage on your web browser: https://www.coveredca.com/shopandcompare/

• If people have problems, tell them to request enrollment assistance at the following website:

https://www.coveredca.com/enrollment-assistance/index_form.html or telling them to call customer service at

1(800) 300-1506

If you do not have internet access…

• Remind your guests to bring the following information:

! Number of people being enrolled including the birth date of each person

! Social Security numbers for each family member

! Home ZIP code

! Most recent income tax filings, including dependent tax information and head-of-household status (if any)

! Legal immigration information, such as your immigration number

! Information about your status as a member of a federally recognized tribe

• Contact us at www.coveredcaliforniacoversus.com and we can help you see if a Certified Enrollment Counselor can

attend your Social.

• Invite guests who have already signed up for Covered California or MediCal and ask them to share their experience

• Set up a phone in a semi-private place and tell them they can call 1(800) 300-1506 to sign up for coverage.

• Note: As we get closer to the March 31st deadline, it will be more and more difficult to get through Covered California’s

call center.

• Calling at off peak times, using a Certified Enrollment Counselor, or finding access to the Covered California website

can be ways to get through without having to wait on the phone.

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APPENDIX I

- Frequently Asked Questions about Covered California* - If you don’t feel comfortable answering any questions, please tell them to visit either www.coveredca.com,

have them call 1(800) 300-1506 or help them find a Certified Enrollment Counselor.

Learning About Covered California and Obamacare

Why should I buy health insurance?

• Everybody uses the health care system at some point in life. You never know when an accident might happen or your

family member will get sick and need to see a doctor. When that day comes, the expenses could be devastating. By

getting health insurance, you are buying peace of mind for yourself and your family. Being insured can save your life!

What is Covered California™? What is “Obamacare”? Are they the same?

• Covered California is a new, easy-to-use marketplace established for California under the federal Patient Protection and

Affordable Care Act, also known as “Obamacare”. It is where you and your family can compare health coverage options

and choose the one that best fits your needs and budget. Through Covered California, you may be eligible to receive

financial assistance to make health care more affordable. Californians can find out if they are eligible for low-cost or no-

cost health coverage through Medi-Cal. For more information about available health care options, you can visit

www.CoveredCA.com or call (800) 300-1506 (interpretation into languages other than English is available).

What is the Medi-Cal program?

• Medi-Cal is California's health care program for individuals who make $15,856 or less per year, though the income

requirements change depending on the size of the household. This program pays for a variety of medical services for

children and adults with limited income and resources. When you complete a Covered California application, your

eligibility for Medi-Cal will automatically be determined. You can apply for Medi-Cal benefits regardless of your sex, race,

religion, color, national origin, sexual orientation, marital status, age, disability or veteran status.

• To find out more about Medi-Cal, please contact Medi-Cal directly at (800) 541-5555 or visit

www.dhcs.ca.gov/services/medi-cal/Pages/Medi-CalFAQs1.aspx. You can also apply directly for Medi-Cal coverage

through this link: http://www.benefitsapplication.com/program_info/CA/Medi-Cal?gclid=CJ6Ltr6Gk70CFYdFMgodEw8AZg

What kind of health insurance is offered through Covered California?

Covered California offers health insurance plans that are the same quality health insurance plans available on the private

market. These health insurance plans are guaranteed to provide essential levels of coverage and consumer protections

required by the federal Patient Protection and Affordable Care Act.

In addition to these traditional health plans, Covered California offers what is called a "minimum coverage plan," which

helps protect a person from financial disaster in the event of a serious and expensive medical emergency. Minimum

coverage plans are designed to cover excessive medical bills that occur above the limit that you would be able to

manage financially. Covered California offers minimum coverage plans to those up to age 30, or those individuals who

prove they are without affordable coverage options or are experiencing financial hardship.

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Learning About Coverage What does Covered California health insurance cover?

All health insurance plans offered through Covered California's individual

and small-group markets must have “essential health benefits.” They

include the following 10 categories:

Ambulatory patient services.

Emergency services.

Hospitalization.

Maternity and newborn care.

Mental health and substance use disorder services, including behavioral health

treatment.

Prescription drugs.

Rehabilitative and habilitative services and devices.

Laboratory services.

Preventive and wellness services and chronic disease management.

Pediatric services, including oral and vision care.

In addition to the standard coverage levels and coverage of essential health benefits,

the Covered California health insurance plans are offered with standard benefit designs so

you can make apples-to-apples comparisons between plans. You can find out more about

plan designs at www.CoveredCA.com.

How will Covered California help me find health insurance I can afford? Covered California's health insurance marketplace allows you to shop online, over the

phone or in person to find the right insurance option for your health needs and budget. You

can compare different health insurance plans and learn whether you qualify for federal

financial help.

What are the coverage levels? • Covered California health insurance plans — and all health plans in the individual and small-

group markets — are sold in four levels of coverage: Bronze, Silver, Gold and Platinum. As the

metal category increases in value, so does the level of coverage provided by the insurer. On

average,

• Platinum-level plans cover 90 percent of health care costs, and you pay 10 percent;

• Gold plans cover 80 percent, while you pay 20 percent;

• Silver plans cover 70 percent, while you pay 30 percent;

• Bronze plans cover 60 percent, while you pay 40 percent.

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• Plans in higher metal categories have higher monthly premiums,

but when you need medical care, you will pay less. Alternatively,

you can choose to pay a lower monthly premium, and when you need

medical care, you will pay more. In other words, you can choose the level of

coverage that best meets your health needs and budget.

• In addition to these categories, Covered California offers a “minimum coverage plan,”

• which helps protect a person from financial disaster in the event of a serious and expensive

medical emergency. Minimum coverage plans are designed to cover excessive medical bills

that occur above the limit that you would be able to manage financially. You can find out

more about plan designs at www.CoveredCA.com

Who can buy health insurance through Covered California? • Legal California residents, except for currently incarcerated individuals and legal minors,

are eligible to buy insurance through Covered California. However, if an enrollee has access

to affordable health insurance through another source, such as an employer or government

program, they may not qualify for financial assistance through Covered California.

• For Medi-Cal, immigration status only affects the scope of service. The services that Medi-

Cal provides to undocumented immigrants include emergency medical services, prenatal

care, pregnancy-related services, nursing home care and limited breast and cervical cancer treatment.

I want to keep my doctor. How do I know which health insurance company to pick to keep my doctor? • You can find a list of doctors for each health insurance company by clicking on the “Apply

Now” button at www.CoveredCA.com and selecting “Preview Plans.” After entering some

basic information, you can pick a health insurance company and click “View Directory.”

Next you will be routed to the health insurance company’s online list of doctors. You can also

contact the health insurance company directly to find out if your doctor is in the health plan’s network.

What if I have a pre-existing health condition? • You can purchase health insurance regardless of any current or past health conditions, and

insurance companies cannot charge you a different premium.

• No matter if you purchase insurance through Covered California or the open market, you

cannot be denied coverage or even screened based on a pre-existing medical condition.

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Signing Up for Covered California What if I need help choosing health insurance? • There are a number of ways Covered California is helping Californians

understand their new health insurance options:

• Helpful tools and tips on the marketplace website.

• Trained state staff available in person or by phone or Certified Enrollment

Counselors who will be able to meet with you in person in every part of the state.

• Partnerships with a wide range of community organizations and Certified Insurance

Agents to provide educational outreach and support services.

• Assistance offered in many different languages.

How do I apply for Covered California coverage or Medi-Cal? • Between Oct. 1, 2013, and March 31, 2014, you can apply for a Covered California health

insurance plan online at www.CoveredCA.com or by calling (800) 300-1506. In-person

assistance is also available. If you are not interested in seeing if you are eligible for federal

help paying for your health care costs you do not need to provide any income information.

To apply, you should have the following information available:

• Number of people being enrolled (whole or partial family), including the birth date of

each person.

• Social Security numbers for each family member.

• Home ZIP code.

• Most recent income tax filings, including dependent tax information and head-of-

household status (if any).

• Legal immigration information, such as your immigration number.

• Information about your status as a member of a federally recognized tribe.

• Open enrollment will restart on October 1, 2014, though if someone experiences a

qualifying event (loss of job, birth of a child, marriage, divorce, etc. outside of the open

enrollment window, they are still eligible to file for health insurance. For more information

about enrollment, please visit the Covered CA website or

http://www.healthexchange.ca.gov/Documents/Eligibility%20for%20Individuals%20and%20F

amilies_PG_8.29.13_Final.pdf. What documents will be verified for enrollment into Covered California? • In accordance with federal law, if you are seeking potential federal premium assistance,

you will be asked to provide information during the enrollment process to verify your income,

citizenship and residency. This information includes:

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- Social Security numbers for U.S. citizens, or document

information for immigrants with satisfactory status. Families that include

immigrants can apply. You can apply for your child even if you aren't

eligible for coverage.

- Employer and income information for everyone in your family. A family is

defined as the person who files taxes as head of household and all the dependents

claimed on that person's taxes.

- Federal tax information. If you don't file taxes, you can still qualify for free or low-cost

insurance through Medi-Cal.

• If you do not want or do not think you qualify for help paying for your health coverage, all you need to provide is the Social Security numbers described in the first bullet above.

I already enrolled and picked a plan, but I want my coverage to start sooner. What can I do? • In general, you must choose a plan by the 15th of the month, and pay your bill (your

premium) at least four business days before the end of the month, if you want your coverage

to start on the first day of the next month. For example, if you want coverage to start on

March 1, you must enroll and choose a plan by Feb. 15 and pay your first bill by Feb. 25. For

coverage to start on April 1, you must choose a plan by March 15 and pay your first bill by March 26.

How do I pay my premium? • Please see the “How to Pay” page at this link: https://www.coveredca.com/getting-

covered/how-to-pay.html.

How much would it cost me to purchase health insurance through Covered California, and am I eligible for financial assistance? • Health insurance premium costs through Covered California are based on age, where you

live (ZIP code), household size and income, and the health plan and benefit level you select.

Use Covered California's online Shop and Compare Tool to see how much health insurance

plans cost and to find out whether you are eligible for any premium assistance or cost-sharing assistance. You can also find out whether you qualify for Medi-Cal.

Can I decline Medi-Cal and enroll in a Covered California health insurance plan and receive the federal premium assistance? • Under federal law, you are not eligible to purchase subsidized coverage through Covered

California if you are currently enrolled in or are eligible for Medi-Cal. You are eligible for unsubsidized coverage through Covered California if you are eligible for Medi-Cal,

20

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so you can still purchase a health insurance plan through

Covered California, but you cannot receive premium assistance to reduce

its cost.

I have health insurance through my employer, but coverage for my spouse and child are too expensive. Would I be eligible for premium assistance for a plan for my child? • Whether you or your family are eligible for premium assistance depends on whether you

have an offer of coverage that includes your spouse and dependents and (1) is affordable

and (2) meets the standard for minimum coverage. The affordability of employer-provided

coverage is evaluated on these two criteria:

- The total annual premium you pay for self-only coverage is 9.5 percent or less of your

annual household income.

- Your employer-provided plan covers at least 60 percent of health care costs for an

average population. Your employer or your health insurance plan should notify you as

to how much the plan covers.

• If those two criteria are met, your employer's plan is considered “affordable” under the law,

and your family members would not qualify for premium assistance through Covered

California.

• If your employer-provided coverage does not include dependent coverage, or if your

employer does not offer dependent coverage, your spouse and child may qualify for

subsidies through Covered California since they would not be offered coverage. In that

case, their eligibility would be based on the family's income.

What if I already have health insurance? • If you already have health insurance provided by your employer that is affordable, you do

not need to do anything. If you are paying more than 9.5 percent of your household income

toward insurance premiums, then you may be eligible for financial assistance available

through Covered California. If you have insurance from your employer and apply for

premium assistance, Covered California will determine whether that health plan is affordable

and provides adequate coverage. If that coverage is determined to be affordable and

adequate, then you cannot receive government premium assistance for new insurance.

• If you have health insurance that you pay for yourself, you may be eligible for financial help

such as premium assistance that can reduce your costs. You can purchase the same kinds of

health insurance plans from Covered California as you can in the private market, but you

can only receive financial help if you buy insurance through Covered California.

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What is considered annual income? • Income includes wages, salaries, tips, business or self-employment income,

rental income, interest received or accrued, lottery and gambling income,

capital gains, pensions, Social Security retirement benefits, foreign-earned

income, alimony income and bartering income (i.e., exchange of goods or

services without exchanging money). For the purposes of determining eligibility for premium

assistance and cost-sharing assistance, Covered California uses your modified adjusted gross

income (MAGI). For most taxpayers, MAGI is the same as adjusted gross income (AGI), which

can be found on line 4 of a Form 1040EZ, line 21 of a Form 1040A or line 37 of a Form 1040.

Taxpayers who receive non-taxable Social Security benefits, earn income living abroad or

earn non-exempt interest should add that income to their AGI to calculate their MAGI. It's

important to remember that if you claim your spouse or children as dependents, their

incomes count toward your household income. In order to receive premium assistance

through Covered California, spouses are required to file their income tax returns jointly.

Will I be able to purchase a dental plan and a vision plan through Covered California? • Dental and vision benefits are available for children. Covered California is considering

adding vision and dental plans as “supplemental plans” for adults through Covered

California in 2014. The timing of adding these benefits has not been determined. As a

supplemental benefit, the federal premium assistance would not apply to these benefits.

When someone enrolls in a health insurance plan during open enrollment but after Jan. 1, 2014, will the effective date be Jan. 1, or is it subject to the actual enrollment date? • If you enrolled in a Covered California plan before Dec. 23, 2013, your coverage started on

Jan. 1, 2014. You would also need to pay your share of the premium before Jan. 15, 2014.

During the last three months of the initial Covered California open-enrollment period (from

Jan. 1, 2014, through March 31, 2014), an individual who submits a completed application,

receives an eligibility determination and makes a plan selection by the 15th of each month

will receive a coverage-effective date of the first day of the following month, as long as the

person's full premium payment is received. For example, someone who has enrolled in a

Covered California health insurance plan by Jan. 15, 2014, would have coverage beginning

Feb. 1, 2014, if they have pay their share of the premium.

• However, someone who submits a completed application receives an eligibility

determination and makes a plan selection after the 15th of that month will receive a

coverage-effective date of the first day of the second following month, as long as the

person's full premium payment is received.

22

(continued)

• For example, someone who has enrolled and whose payment

has been received by Jan. 16, 2014, will have coverage beginning

March 1, 2014.

If someone's Medi-Cal coverage is cancelled because of increased income, does that person qualify for special enrollment into Covered California? • Yes, losing coverage such as Medi-Cal is considered a qualifying event that would trigger a

special enrollment period.

• Other qualifying events include the loss of a job, a marriage or divorce, or the birth of a

child. In the case of such an event, you would be eligible to enroll within 60 days of that

event. During that period you could not be denied coverage by any health plan in Covered

California or in the individual market, and you could be eligible for the premium assistance

that is only available through Covered California.

Can patients keep their same doctor when they purchase health insurance through Covered California?

Each health insurance plan has a specific list of doctors and hospitals that are considered

in-network providers for covered services. Directories of doctors and hospitals are available

at www.CoveredCA.com. It is also always a good idea to check the individual plan that lists

your provider to confirm that your doctor and hospital services are covered under that plan.

Covered California has provided a searchable directory so you can see which health plan(s)

your doctor or hospital is in.

*FAQ questions and answers adapted from the Covered California website.

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- Appendix II -

Backyard BBQ 24

Bringing Back the ‘90s 25

Family Fun Fest 26

Fiesta! 27

California Wine Tasting 28

Roll-Your-Own-Sushi 29

Social by the Pool 30

Birthday Bash 31

Sunday Brunch 32

Garden Tea Social 33

Beach “Ball” 34

White Social 35

Fun Formal Dinner Social 36

Fish Fry 37

Card Social 38

Ladies’ Night 39

*Social Tip: Look online at sites like www.Pinterest.com and www.MarthaStewart.com for other

ways to make your Social stand out!

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- Backyard BBQ - An American tradition that combines the outdoors with delicious food on the grill

Suggested Activities: • Give out a prize for most creative outfit • Outdoor sports - Volleyball, soccer, baseball, basketball • Pie Eating Contest

Sample Menu:

• Steak/ Chicken • Grilled Veggies • Salads • Corn on the Cob • Cupcakes • Apple Pie

Decoration Ideas: • Disposable plates, cups, and utensils • American Flags • Classic Americana • Look for Fourth of July decorations online

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- Bringing Back the ‘90s- Celebrating a decade known for the birth of hip-hop, the Internet, and light-up sneakers

Suggested Activities: Dance competition Dress-up in '90s style clothing ’90’s Trivia Challenge Charades of '90's TV shows & movies '90s star imitations

Music Suggestions:

Mark Morrison, “Return of the Mack” Len, “Steal My Sunshine” Spice Girls, “Spice Up Your Life” Hootie & the Blowfish, “Only Wanna Be

with You” OMC, “How Bizarre” Color Me Badd, “All 4 Love” Gerardo, “Rico Suave” Ini Kamoze, “Here Comes the Hotstepper” Right Said Fred, “I’m Too Sexy” Skee-Lo, “I Wish” Next, “Too Close” Sir Mix-a-Lot, “Baby Got Back” Haddaway, “What Is Love”

Decoration Ideas:

Find old pictures from the '90s and blow them up Use old posters of '90s bands, movies, and TV shows '90s trivia contest

26

- Family Fun Fest - Nothing is more fun than spending time with the family and other close friends!

Decoration Ideas: Gingham Tablecloths Picnic Baskets

Sample Menu:

• Party Mix • Chips • Sandwich Fixings • Potato Salad • Make Your Own Ice Cream

Sundaes

Suggested Activities: • Potato Sack Race • Three-Legged Race • Egg and Spoon Race

27

- Fiesta! - A way to celebrate and honor Los Angeles’s proud Latin American traditions.

Decoration Ideas:

• Bright Colors • Tissue Paper Flowers • Latin American Flags • Colorful Rugs

Suggested Activities:

• Salsa Dancing Contest • Piñatas • Burrito Bar

Sample Menu:

• Chips, Guacamole and Salsa • Quesadillas • Chiles Rellenos • Fajitas • Tres Leches Cake • Churros • Sangria • Margaritas • Corona/Tecate

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-California Wine Tasting - Good wine, good music, and good friends will always mean a good time.

Sample Menu:

• Bruschetta

• Smoked Salmon

• Olive or Artichoke Tapenade

• Goat Cheese Crostini

• Prosciutto Wrapped Melon

• Assorted Fruit

• Cheese Plate


• Have each guest bring a bottle of wine, then create "stations" for each

type of wine. Guests can vote on their favorite bottle of wine, and the

guest who brought the winning bottle receives a prize.

• Have a “Blind Tasting Contest” by pouring samples of wines without

people knowing what they are. Encourage guests to guess the style.

• The person who guesses the most wines correctly wins a prize.

Music Suggestions:

• Jazz:

• David Benoit

• John Coltrane

• Cannonball Adderley

• Herbie Hancock

• Dizzy Gillespie

• Big Band:

• Frank Sinatra

• Cab Calloway

• Duke Ellington

• Glen Miller

Decoration Ideas:

• Use old wine bottles as vases

• Use grape leaves/ plants on the food display

• Opera:

- “Carmen” by Georges Bizet

- “La traviata” by Giuseppe Verdi

- “Don Giovanni” by Wolfgang

Amadeus Mozart

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- Roll-Your-Own-Sushi - This Social theme is both delightful and delicious for your guests

Decoration Ideas: • Tatami Screens • Tatami Lamps • Japanese Lanterns • Kimonos • Wooden Shoes • Cherry Blossoms

Where to Find a “Make-Your-Own-Sushi” Kit: • www.amazon.com • www.cooking.com • www.bedbathandbeyond.com

Suggested Food & Drinks with Sushi: • Edamame • Miso Soup • Tempura • Teriyaki • Sake • Sapporo

30

- Social By The Pool - Break out your inner child with a pool party!


• Marco Polo • Pool Volleyball • Diving Contest • Water Polo

Sample Menu:

• Hot dogs and Hamburgers

• Veggie Burgers • Wraps • Watermelon • Chips • Popsicles • Rootbeer Floats • Beer and Frozen

Cocktails Music Suggestions:

• Beach Boys • Led Zeppelin • Jimmy Buffet • Steve Miller Band

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- Birthday Bash - Why not combine your birthday with promoting a great cause?

Decoration Ideas:

- Party Hats - Confetti - Use colorful wrapping paper as

table cloths Suggested Activities:

• Pin the tail on the donkey • Piñata • Musical Chairs

Sample Menu:

• Pizza • Potluck - Have your guests each

bring a dish • Birthday Cake • Ice Cream

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- Sunday Brunch - A Social for people who prefer a more laid-back approach to things

Suggested Activities: • Set out the Opinion section of the Sunday Newspaper to provoke discussion • Set up checkers or chess on a coffee table • Oversized Crossword Puzzle

Music Suggestions:

• "I Like It" — DeBarge • "Lovely Day" — Bill Withers • "Outstanding" — The Gap Band • "Adorn" — Miguel • "Paris, Tokyo" — Lupe Fiasco • “Monkey Man” — Toots and the Maytals • “The Blast” — Talib Kweli • "Beautiful Day" — U2 • “Team” — Lorde

Sample Menu:

• Quiche • Fried Chicken & Waffles • Veggie Platter • Spinach Walnut Salad • Fresh Fruit Tart • Mimosas • Iced Coffee/Lattes &

Tea

33

- Garden Tea Social - For those who prefer things just a little classy

Decoration Ideas:

Ask each guest to bring a bouquet of one type of flower (roses, carnations, or sunflowers).

• Combine all the flowers for centerpieces when the guests arrive Use pastel colors

Sample Menu:

• Mini sandwiches • Mini Hors d'Oeuvres • Smoked salmon • Crab cakes • Melon or Grapes Pasta

Salads • Cookies • Cakes • Assortment of Hot Tea Iced

Tea and Coffee • Champagne/Bellinis

Music Suggestions:

• Norah Jones • Faith Hill • Aretha Franklin • String Quartet Music • Pachelbel- “Canon” • Dvo!ák- String Quartet in F Major, Op. 96

34

- Beach “Ball” - There are so many beaches and sunny days in Los Angeles, take advantage of

them with this Social idea

Suggested Attire:

• Bathing Suits • Hawaiian Shirts • Sandals • Grass Skirts

Sample Menu: • Hamburgers and

Hot Dogs • Veggie Burgers • BBQ Ribs • Kebabs • Roasted

Marshmallows • Frozen Drinks Activities:

• Beach Volleyball • Beach Soccer • Giant Twister • Bocce Ball

35

- White Social - A popular Social theme that is surprisingly easy to pull off.

Suggested Attire:

• Ask all guests to wear white, and only white • Have extra clothes on hand for those who forget the dress code • Have a contest for “best dressed” with prizes for the winner

Sample Menu:

• Pasta Alfredo • Tortilla chips with spinach dip • Risotto • Chicken (white meat only) • Vanilla cupcakes • Marshmallow Pops • Cake Pops • White Russian cocktails

Decoration Ideas:

• Use mirrors as trays • White candies • White balloons • White confetti • White roses and lilies

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- Fun Formal Dinner Social - Everyone loves to get dressed up every once in a while

Suggested Attire:

Suits (or tuxedos) for men Dresses/Gowns for women Make sure to have extra ties & jackets for people who may not have them

Sample Menu:

• Spinakopita • Mini Quiches • Bacon-wrapped scallops • Potatoes au Gratin • Roasted Pork Loin • Watermelon Granita • Chocolate-dipped

Strawberries • Creme Brûlée • Tiramisu • Martinis • Pair wines with different

courses Music Suggestions:

• Louis Armstrong • Frank Sinatra • Cab Calloway • Duke Ellington • Benny Goodman

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- Fish Fry - Comfort food at its finest

Suggested Activities: • Give your guests the option to try different

breadings (Ritz crackers, breadcrumbs, etc) • Dipping Sauce/Hot Sauce contest • Ice cream sundae bar with

gummy worms and swedish fish Sample Menu:

• Fried Catfish • Crawfish Boil • Hushpuppies • Coleslaw • Peach Cobbler

Music Ideas: • B.B King • Muddy Waters • Blind Lemon Jefferson • Albert King • Stevie Ray Vaughan • Dr. John the Night Tripper

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- Card Social - A fun and easy theme that injects a little competition into the affair

Card Game Ideas:

• Euchre • Canasta • Bridge • Pinochle • Cribbage • Poker

Sample Menu: • Shrimp Cocktail • Stuffed Mushrooms • Finger Sandwiches • Mini Pizza • Hamburger Sliders

Other Activities:

• 50/50 Raffle • Door Prize • Cookie Walk • Board Games (for non-card players

and/or kids) Tips: • Choose only 2-3 games • Pick a theme for your card party • Have laminated rules for all of the

games you will be playing Give a “swag bag” to all people attending the party

39

- Ladies’ Night -

Unlike other nights, a Ladies’ Night theme can be applied to any of the previous

theme ideas. Here are some other suggestions:

Fashion Night:

Have everyone scour their closet for clothes they don’t wear anymore and put them out for all to model and swap. Any leftover clothes can be donated to charity at the end of the night

TV/Movie Night:

• Pick a couple movies or a TV series based on a theme.

• Make some snacks or drinks based on that theme.

Foodie Fun Night:

• Pick a handful of dishes that you and your guests can make together like pizza.

• Choose at least one recipe that is unfamiliar to most to add a challenge to the night’s festivities.

Spa Night:

• Purchase items for everyone to have facials, manicures, and pedicures. • Grab foods from the grocery store to make your own face masks, sugar

scrubs and other skin treatments.

Health Care Kit 1

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Transcript of Health Care Kit 1