3-page Microsoft Word document. Excerpt: The Model Employer CHIP Notice was designed as a template to cover an array of situations where employees may be entitled to notice and may reside (or their families may reside) in States across the nation. Employers may use the model template as a national notice to fulfill their employer notice disclosure obligation under ERISA ... and the parallel provisions of ... the PHS Act and ... the Internal Revenue Code. The notice is required to be provided automatically, free of charge.... [T]he approach of the Model Employer CHIP Notice is to provide a very brief description of premium assistance and rely on State contact information for State-specific program descriptions.