This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).

Open Enrollment

What is Open Enrollment?

Each year you can choose a new health, dental, and/or vision insurance plan for your child. This process is called "Open Enrollment". Healthy Families will mail you information about Open Enrollment. This information will describe the Open Enrollment process, when it will begin and end, and when coverage in the new plan will start. If you choose new insurance plans during Open Enrollment, all children in the household will be transferred to the new insurance plans.

How can I transfer from one plan to another?

You can request a transfer for your child from one health, dental or vision plan to another. Transfers will be allowed if:

• You request a health, dental or vision plan transfer, one time for any reason, within the first 3 months from the original start date of coverage in the program; or
• Your child moves out of the area served by the current insurance plan and at least one other insurance plan serves the area where the child lives; or
• You request a health, dental or vision plan transfer, one time for any reason, within the first 30 days of the start date of coverage in a new plan following Open Enrollment; or
• Healthy Families does not renew the contract with the participating insurance plan where the child lives, or the contract is canceled.

Note: Starting November 1, 2009, dental plan choices for some families who do not have any child enrolled in Healthy Families for two (2) consecutive years will be limited to certain dental plans. Two (2) consecutive years means that your child is (or was previously) enrolled in Healthy Families for 2 years without a break in coverage.

To find out what plans are available to you, click here.

Contact Healthy Families by phone, mail or fax to request a plan transfer.

• Call us at 1-866-848-9166 to tell us your new plan choice. (The call is free.)

• Or, write your plan choice and your Family Member Number on a piece of paper and mail the paper to:

  Healthy Families Program
  P.O. Box 138005
  Sacramento, CA 95813-8005

• Or, fax the paper to: 1-866-848-4974 (The fax number is free.)

A transfer will also be allowed if you cannot establish a good relationship with your child's plan and the Executive Director of the Managed Risk Medical Insurance Board determines that the transfer is in the best interest of the child and the Program. This type of transfer request must be in writing. Write your Family Member Number on each paper you send and mail this type of transfer request to:

Managed Risk Medical Insurance Board (MRMIB)
PO Box 2769
Sacramento, CA 95812-2769

Or, fax your request to: 1-916-327-9661

Note: All transfer requests must be for one of the reasons in this list. If your reason for requesting a transfer is not one of the above, you must wait for the annual Open Enrollment.

When will Healthy Families ask you to choose a new plan?

If Healthy Families learns that your child no longer lives in an area served by your chosen health, dental, or vision plans, Healthy Families will notify you in writing to choose new plans.

If you do not choose new plans within 30 days from the date of the written notice, Healthy Families will enroll your child in the Community Provider Plan in your new area, if one is available. Healthy Families will choose the dental or vision plan for your child if there is more than one dental or vision plan in your child’s area.