Required provision concerning termination of coverage on dependent child.
1. A group health insurance policy delivered or issued for delivery after November 1, 1973, which provides for the termination of coverage on a dependent child of a member of the insured group, when such child attains a contractually specified limiting age, shall also provide that such coverage shall not terminate when the dependent child reaches such age if such child is and continues to be:
(a) Incapable of self-sustaining employment due to a physical handicap or mental retardation; and
(b) Dependent on the member of the insured group for support and maintenance.
2. Proof of such child’s incapacity and dependency shall be furnished to the insurer by the member of the insured group within 31 days after such child attains the specified limiting age and as often as the insurer may thereafter require, but no more than once a year beginning 2 years after such child attains the specified limiting age.
Last modified: February 27, 2006