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Dependent Age 19 or Over Application For Continued Coverage

Coverage for an unmarried dependent ends at the end of the month in which the dependent turns age 19 unless the Dependent Age 19 and Over Application for Coverage is completed and returned to the GIC.

Please keep in mind the following:

  • Dependents who qualify as dependents under Internal Revenue Service (IRS) rules are eligible for coverage up to age 26 or two years after losing dependent status according to IRS rules, whichever occurs first
  • The insured must have family plan coverage.
  • Dependents age 19 to 26 who are not a full-time student or a handicapped dependent may be eligible for continued coverage.
  • The GIC will determine eligibility and effective dates.

You MUST notify the GIC when your dependent is no longer a full-time student at an accredited school, withdraws from school, is on a medical leave of absence from school or the medical leave of absence ends, graduates, ceases to be an IRS dependent, or ceases to be a Non-IRS Dependent. If one of these events occurs, you can apply for continued coverage by completing and returning the Dependent Age 19 or Over Application for Coverage or you may apply for COBRA coverage. See the Q&A section for additional details.

Dependent Age 19 and Over Application for Coverage Word
This information provided by the Group Insurance Commission.