What are the criteria for dependent children ages 26 ‐ 30 to be eligible for group medical coverage?
Florida Statute Chapter 627.6562 stipulates that the child must be a) unmarried without any dependents, b) a resident of the state of Florida or a full time/part time student and c) is not provided coverage or is not a covered person under any other group health insurance policy or individual health benefits plan, or is not entitled to benefits under Title XVIII of the Social Security Act.
Employees enrolling a new dependent child after the end of the calendar year in which he/she turns age 26 must provide supporting documentation that the child was continuously covered by other creditable coverage without a gap in coverage of more than 63 days.
Who are my Eligible Dependents and what documentation is required as proof of eligibility?
If you enroll for health, dental, vision or GAP insurance, you may also enroll your eligible dependents identified below. The types of documentation acceptable, as proof of dependent eligibility, are identified in parenthesis. Documentation must be provided at the time the enrollment form/change in status form is submitted to Benefits. If the documentation is not readily available, please submit the enrollment/change form and follow up with the documentation as soon as it becomes available. Your request will not be processed without the supporting documentation.
Spouse/Domestic Partner if she/he is not also a City of Fort Lauderdale employee (Official marriage certificate or Affidavit of Domestic Partnership).
Your biological child, legally adopted child or child placed in the home for adoption in accordance with applicable state and federal laws (copy of official legal documents proving the status).
Child(ren) of your domestic partner unless covered by a spouse/domestic partner who also works for the City of Fort Lauderdale (copy of official birth certificate showing the domestic partner as the parent).
Your child if permanently physically and/or mentally disabled may be covered indefinitely beyond the limiting age as long as acceptable proof of the disability is provided to the plans (the health plan will request medical proof of the disability).
Court order for the specified dependent child or foster child placed in your home (copy of the executed court order)
A grandchild up to age 18 months if born while your child is covered under the plan and the parent remains covered under the plan (copy of birth certificate)
The Patient Protection and Affordable Care Act permits married or unmarried dependent children to be covered under the health plans to the age of 26. An unmarried dependent child may be covered for health beyond age 26 to age 30, if the criteria established by Florida Statute are satisfied (see following Q & A). Dependent children enrolled for dental coverage are eligible to the end of the year turning 25. Dependent children enrolled for vision coverage are covered to the end of the month in which they turn age 26.
Your foster child if placed in your home prior to age 18 (proof of placement by the Department of Children and Families or the foster care program of a licensed agency).