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Letter dated 08/08/2026, Case Number 519864407. Household applied for Covered California, determined over income threshold for CC subsidies, redirected to Medi-Cal.
VILMA MOORE: QUALIFIES for Medi-Cal, can use it immediately (county still reviewing application, no billing during pending review). Does NOT qualify for Covered California plans/APTC/cost-sharing reductions - household annual income $29,600.00 ($2,466.67/mo) is below the CC program threshold.
DAVID MOORE: Not checked for coverage - marked "not applying." Records show eligible for/enrolled in Medicare.
MARKUS MOORE: Not checked for coverage - marked "not applying."
If David/Markus status is a mistake, application must be updated at CoveredCA.com. Report changes within 30 days of household size/income change per CoveredCA.com/RAC.