Can coverage be extended for dependents once they reach age 26?
Employers have the option to extend health insurance coverage beyond the limiting age to dependents of employees up to the age of 30 under Pennsylvania law Act 4 of 2009. The employer must elect this coverage at initial enrollment or at renewal. To be eligible for coverage under Act 4, an adult child must meet ALL of the following requirements: • Be unmarried; • Have no dependents; • Be a Pennsylvania resident or is enrolled as a full-time student at an institution of higher education; and • Not have coverage under any other group or individual health care policy or enrolled in or entitled to benefits under any government health care program. To enroll an adult child, the Dependent Verification Form must be completed, signed and attached to the contract holder’s member application. The dependent will be enrolled under their own contract and pay the applicable group individual premium.
