Can incapacitated children be covered beyond age 26?

If they are already enrolled in the state group health insurance plan and incapacitation was prior to age 26, they will be covered as long as they continue to meet eligibility requirements. A request for extended coverage must be provided to Benefits Administration before the dependent’s 26th birthday. The insurance carrier will decide if a dependent is eligible based on disability. Coverage will end and will not be restored once the child is no longer disabled.

The Certificate for Incapacitation for Dependent Child Application is located here:  https://www.tn.gov/content/dam/tn/finance/fa-benefits/documents/0927.pdf

Please note: It is the responsibility of the Head of Contract (HOC) to keep up with the expiration date of the incapacitation. Neither Benefits Administration nor the insurance carrier will notify the HOC when an incapacitated dependent is about to lose coverage.

 

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