2 pages. Excerpt: The CHIP Working Group will meet ... to develop a model coverage coordination disclosure form for group health plan administrators to send to States upon request regarding benefits available under the plan.... The CHIP Working Group will identify and report on the impediments to the effective coordination of coverage available to families that include employees of employers that maintain group health plans and members who are eligible for medical assistance under title XIX of the [Social Security] Act or child health assistance or other health benefits coverage under title XXI of the [Social Security] Act.