Opening Doors to Health Care in San Mateo County
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Healthy Families

Annual Eligibility Review Form

You will receive this form in the mail from the Managed Risk Medical Insurance Board (MRMIB) once a year. It is usually mailed 2 months before your termination date (renewal). The form will ask about family income to decide if your children are eligible to enroll again, and if your monthly premium and co-pays will change.

For questions about your eligibility review, call MRMIB at 1-800-880-5305