Health Coverage Tax Credit (hctc) Grant

What is the aim of the Health Coverage Tax Credit (hctc) Grant?

To provide health insurance coverage assistance and support related services to eligible TAA-impacted workers and other eligible individuals, as authorized under the Trade Adjustment Assistance Reform Act of 2002 and the expansion of the program in the Trade and Globalization Assistance Act of 2009.

How and Where to Apply for the Health Coverage Tax Credit (hctc) Grant?

HCTC Grant applications are submitted electronically through the National Emergency Grant Electronic Application System. States are required to complete and submit the following OMB approved forms:

Completed and signed SF 424 Application for Federal Assistance. This form is the required application for requesting federal funds.

Project Synopsis (ETA 9106) – This form summarizes key aspects of the proposed project such as project type, planned number of participants and contact information.

Planning Form (ETA 9103) – This form provides cumulative quarterly estimates on project scope (e.g. number of participants, exits), designs (e.g. mix of services), and budget (e.g., cost by type of activity, administrative costs)

Narrative Statement – Explanation must be provided in cases where one or more of the following are reflected in the project plan:

  • Indirect costs are included in the budget, which requires identifying the following: cognizant approval agency, approved cost rate and base, and date of approval.
  • Other – costs are included in the budget, which requires identifying the specific cost items and amounts
  • Administrative costs related to processing payments for qualified health insurance coverage and/or income support are included in the budget, which requires explaining how the administrative cost estimate was derived (i.e. based on the number of check payments and check processing costs)

How much is the Range and Average of Health Coverage Tax Credit (hctc) Grant?

$12,702 to $12,566,852. Average: $823,438.

For more info on the Health Coverage Tax Credit (hctc) Grant, contact:

Headquarters Office
Erica R. Cantor, Francis Perkins Building, Room C-5321, Washington, District of Columbia 20210
Phone: (202) 693-3500
Fax: (202) 693-3149
Email: cantor.erica@dol.gov
Web Site Address: http://www.doleta.gov/neg/

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