California LifeLine Related Forms and Notices For Carriers

California LifeLine Program (previously known as Universal LifeLine Telephone Service or ULTS)

California LifeLine Program - Rules and Regulations

•  Connection/Activation Reimbursement 2016  
•  Resolution T-17337 - Sets the Specific Support Amount Subsidy for the California LifeLine Program at $11.50 effective January 1, 2012.
•  General Order 153 - (REVISED per Resolution T-17321 and effective December 1, 2011).
•  Resolution T-17321 - Revises General Order 153 effective December 1, 2011.
•  General Order 153 - (REVISED per Resolution T-17202 and effective July 1, 2009 - November 30, 2011.)
•  Resolution T-17202 - Revises General Order 153 to reflect administrative revisions to the California LifeLine Program effective July 1, 2011.
•  General Order 153 - Public Utilities commission of the State of California - Procedures for administration of the Moore Universal Telephone Service Act effective May 3, 2007.
•  Decision D.10-11-033 - Adopting forward-looking modifications to California LifeLine Program in compliance with the Moore Universal Telephone Service Act effective November 19, 2010.
•  Decision D.08.08.029 - Adopting a Pre-Qualification Requirement for the California LifeLine Program and Resolving Remaining Phase 2 Issues effective July 1, 2009. Appendices
•  Rulemaking R04.12.001 - Docket listing all documents pertaining to California LifeLine rules, documents and decisions.

How to Become a California LifeLine Carrier

• For carriers interested in offering California LifeLine service in California, please contact Steven Klaiber (steven.klaiber@cpuc.ca.gov) to answer any questions and to begin the process of database interface with the 3rd party administrator. Anna Jew (anna.lee@cpuc.ca.gov) can address any questions related to claims of reimbursement from the ULTS Fund.

California LifeLine Administrator

•  Conduent February 15, 2018 Presentation
•  Timeline for the Application Process
•  Timeline for the Renewal Process
•  XEROX October 22,2015 Workshop Notes
•  XEROX October 22, 2015 Workshop Presentation
•  Weighted Average Subsciber Count External Specifications Document - September 23, 2011  
•  Solix Flowchart with Online Option
•  Solix Prequalification Workshop Presentation - September 29, 2008   
•  Solix Website Demonstration Slides - April 16, 2008

Administrative Letters 

•  Amended Claim Instructions for July to August 2019 (August 5, 2019)
•  Interim Implementation Cost for July to August 2019 (August 5, 2019)
•  Amended Claim Instructions for April to June 2019 (June 24, 2019)
•  Interim Implementation Cost for April to June 2019 (June 24, 2019)
•  Interim Claim Instructions for April to May 2019 (May 20,2019)
•  Implementation Costs to transition to the new Third-Party Administrator, Maximus (February 11, 2019)
•  SSA Administrative Letter - 2019
•  Implementation of the California LifeLine Eligibility Criteria Provisions (August 27, 2018)
•  Replacement for Form 497 in California LifeLine Claim Filings
•  CPUC's Executive Director Notice regarding Emergency Consumer Protections for Counties Impacted by the December 2017 Wildfires
•  SSA Administrative Letter - 2018
•  SSA Administrative Letter - 2017
•  California LifeLine Expedited Payment Option (August 4, 2016)
•  CPUC’s Response to FCC Commissioner Pai’s Request for Information regarding the California LifeLine Program (July 27, 2016)
•  SSA Administrative Letter - 2016
•  Claim Payment Schedule Notification (June 8, 2015)
•  Effective Date on Denials Global Issue (February 12, 2015)
•  Guidance for Acceptable Identification Documents
•  SSA Administrative Letter - 2014
•  Guidance for Advice Letter Components regarding  California Lifeline Wireless Services (February 14, 2014)
•  Revised Administrative Letter - 2013 SSA - Sets the Specific Support Amount Subsidy for the California LifeLine Program at $11.50 effective January 1, 2013.
•  Specific Support Amount (SSA) - 2013 
•  Notice to All California LifeLine Service Providers (December 3, 2012) - Offering California LifeLine Program Discounts
•  Notice to All California LifeLine Service Providers (November 30, 2012) - California LifeLine Rates Beginning January 1, 2013
•  Notice to All Carriers (September 13, 2012) - Implementation Costs to transition to a new third-party administrator, Xerox
•  Notice to All Carriers (October 14, 2011) - Captioned telephone technology in the California LifeLine program
•  Notice to All Carriers (September 9, 2011): Implementation of Weighted Average Subscriber Report in compliance with Decision D.10-11-033.
•  Administrative Letter - Solix Form Name Changes (June 25, 2009)
•  Notice to All Carriers Providing Residential Telephone Service dated February 27, 2009  
•  September 29, 2008 Workshop Staff Report
•  Carrier instructions regarding toll-limitation
•  California LifeLine Program Rates - Effective January 1, 2009

California LifeLine Program Income Limits

•  2019 - 2020 California LifeLine Income Limits
•  2018 - 2019 California LifeLine Income Limits
•  2017 - 2018 California LifeLine Income Limits
•  2016 - 2017 California LifeLine Income Limits
•  2015 - 2016 California LifeLine Income Limits
•  2014 - 2015 California LifeLine Income Limits
•  2013 - 2014 California Lifeline Income Limits
•  2012 - 2013 California Lifeline Income Limits
•  2011 - 2012 California LifeLine Income Limits
•  2010 - 2011 California LifeLine Income Limits
•  2009 - 2010 California LifeLine Income Limits
•  2008 - 2009 California LifeLine Income Limits   

Information - Only Filings

California LifeLine Program Flat Rate Cost Factor (CF) pursuant to Decision D.03.01.035

•  CF FY 2010 - 11
•  CF FY 2009 - 10
•  CF FY 2008 - 09

California WIRELESS LifeLine Program - Claim Reimbursement Process

For Claim Periods on or after May 1, 2018 

For Claim Period on or after March 1, 2014:

• For claim reimbursement after March 1, 2014, please use this version of Wireless California Lifeline Claim Form (G.O. 153, D.14-01-036, D.10-11-033/Res. T-17321), and Instructions.

California LifeLine Program - Claim Reimbursement Process

 For Claim Periods on or after May 1, 2018

 For Claim Period on or after December 1, 2011:

• For claim reimbursement after December 1, 2011, please use this version of  California Lifeline Claim Form (G.O. 153, D.10-11-033/Res. T-17321), Instructions, and claim form example with formulae

For Claim Period on or after July 1, 2009:

• For claim reimbursement after July 1, 2009, please use this version of California LifeLine Claim Form (G.O. 153 - D.08-08-029 / Res. T-17202) and Instructions

For Claim Period on or before June 30, 2009:

• For claim instruction and sample form, please go to G.O.153 Section 9 and Appendix D
• For bad debt calculations and information please go to G.O. 153 Section 9.3.9. Sample bad debt spreadsheet should be included with monthly claim.

Claim form and supporting documents can be submitted via e-mail to lifelineclaim@cpuc.ca.gov

California LifeLine Working Group Conference Calls

• Agendas
• Meeting Minutes  
• Consumer Affairs Branch Customer Statistics
• Top 5 LifeLine Application Denials
• Third Party Administrator LifeLine Customer Counts
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