An individual shall be eligible for the Program if the individual: Has resided in the District for at least 6 months at the time of application to the Program; Resides in a household having a gross household income not exceeding 400% of the federal poverty guidelines as updated periodically in the Federal Register by the United States Department of Health and Human Services under the authority of 42 U.S.C. § 9902(2); and Does not qualify for: The DC HealthCare Alliance; Medicare; Medicaid; or Other federal health-benefits programs; and Has not had health insurance during the 6-month period prior to application to the Program; Has had health insurance during the 6-month period prior to application to the Program but the insurance was terminated due to: The loss of employment; A death of a spouse, domestic partner, or family member who maintained the individual as a beneficiary on a health-insurance plan; Changes in student status, including graduation, a leave of absence, or reduction to part-time study; A change of employment to a new employer who does not provide group health insurance; A legal annulment, separation, divorce, or the dissolution of a domestic partnership; The loss of financial eligibility under Medicaid or the DC HealthCare Alliance; The cancellation or discontinuation of a group health insurance contract by a health insurer; or Any other reason as determined by the Mayor; or Has health insurance but the annual cost to the individual is deemed unaffordable, as determined by the Mayor. Eligibility for the Program shall not be subject to any pre-existing condition exclusions.
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