The recently enacted healthcare reform legislation includes a provision that requires group health plans to extend coverage to adult children up to the age of 26 who do not have access to their own employment-based coverage, regardless of their financial dependency, student status, marital status, or residency. The required effective date of this provision for the Medical Plan of the Presbyterian Church (U.S.A.) is January 1, 2011.
To help transition to this expanded eligibility, the Board of Pensions approved an early accommodation for those children who lost coverage by “aging out” of the Medical Plan or by graduating between June 1, 2010, and December 31, 2010. To be eligible for this early accommodation that went into effect June 1, 2010, adult children of Medical Plan members:
- must be under the age of 26
- must have been covered by the plan on June 1, 2010, and
- would otherwise no longer be eligible for coverage, by virtue of financial dependency, student status, marital status, or residency, between June 1, 2010, and December 31, 2010.
Please note: Effective January 1, 2011, all adult children of covered Medical Plan members who are under the age of 26, regardless of their financial dependency, student status, marital status, or residency, will be eligible for full coverage through their parents’ coverage under the Medical Plan. This provision includes covered plan members’ children, stepchildren, and adopted children who are not currently covered by the Medical Plan and who are not eligible for coverage under another employer-sponsored health plan. A mailing to all members will be sent in early fall advising them how to enroll their adult children who qualify for the extension.
If you have questions about this healthcare reform provision or the Board’s early extension of coverage, please call the Board at 800-773-7752 (800-PRESPLAN).