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Coordination of Benefits Form for Young Adult Coverage1199SEIU Benefit Funds 2025

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The document is a Coordination of Benefits Form for Young Adult Coverage provided by the 1199SEIU Benefit Funds. It outlines the process for members to request health benefit coverage for their dependent children aged 19 to 26. The form requires detailed information about both the member and the young adult, including eligibility for other health plans through parents, employers, or spouses. It emphasizes the importance of completing and submitting the form to avoid gaps in coverage.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the age limit for 1199 dependent coverage for children?

Most 1199SEIU members enjoy unparalleled health coverage with little to no out-of-pocket costs, while other members pay modest co-pays and premiums for high-quality care.

What is a coordination of benefits form?

If your employers plan offers coverage for dependent children, your child can stay on your plan until age 26.

Is 1199 good health insurance?

If youve accumulated 5 years of vesting service,* you are eligible to receive a pension from the 1199SEIU Greater New York Pension Fund.

What is the maximum age for child parents insurance?

Eligible children are defined as natural, adopted, step, or domestic partners children up to the age of 26. Who is not eligible? Under the Act, the spouse or children of your adult children are not eligible for dependent coverage. When can I enroll my dependent?

What is the age limit for 1199 health insurance?

If you retire at age 62.5* with at least 25 years of credited service and/or vesting service with a contributing employer, you are eligible for coverage that includes hospital, medical, emergency, outpatient surgery, prescription drugs, routine foot care, chiropractic care, vision and hearing.