A. If your child loses eligibility for coverage, you must notify the Administrative Office in writing within 60 days of when the dependent status change occurs.
As a result of the Affordable Care Act, children under age 26 are eligible for coverage, whether a student, married or unmarried. An adult child will not be eligible for coverage if they have or are eligible for employer-sponsored coverage, or if the child is age 26 or older — unless he or she is incapable of self-sustaining employment by reason of mental retardation or physical handicap, per the Plan’s rules. See your Summary Plan Description for more information.
If you do not immediately notify the Administrative Office and claims and/or premiums are paid on behalf of an ineligible dependent, you and/or the dependent is responsible for reimbursing the Trust for such claims and/or premiums, including attorney’s fees, interest, and reasonable collection costs.