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Application for Coverage for Other Dependent Children - ok

Application for Coverage for Other Dependent Children - ok 2025

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The document is an application form for coverage of other dependent children under the Employees Group Insurance Division. It outlines the requirements for members to request health, dental, vision, and life insurance coverage for children who are not their biological or legally adopted children but live with them in a parent-child relationship. The form must be completed with specific information about the child and submitted within 30 days of the child entering the home. Approval from EGID is required before coverage can begin.

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How to use or fill out Application for Coverage for Other Dependent Children - ok

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Group ID and Division ID at the top of the form. This information is essential for processing your application.
Fill in your name, Social Security Number (SSN) or Member ID, and address details. Ensure accuracy as this will be used for identification.
Provide the child's full name, birthdate, and SSN. Indicate the child's gender by selecting either 'Male' or 'Female'.
Answer questions regarding the child’s relationship to you and when that relationship began. This helps establish eligibility.
Indicate if you intend to claim the child on your tax return this year, providing an explanation if not.
Select the desired coverages (Health, Vision, Dental, Dependent Life) by checking the appropriate boxes.
Sign and date the form at the bottom to certify that all information is accurate before submitting it through our platform.

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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.

At what age do kids stop being dependent?

The IRS defines a dependent as a qualifying child (under age 19 or under 24 if a full-time student, or any age if permanently and totally disabled) or a qualifying relative. A qualifying dependent cannot provide more than half of their own annual support.

What age is a dependent child?

To meet the qualifying child test, your child must be younger than you or your spouse if filing jointly and either younger than 19 years old or be a student younger than 24 years old as of the end of the calendar year.

What age is classed as a dependant?

Specific definitions normally include a spouse, civil partner and children under the age of 18, however (depending on the circumstances) it can include a long-term partner, elderly parents, and children over the age of 18 who are financially dependent and/or physically or mentally disabled.

What is the age of dependent children?

Qualifying child Age: Be under age 19 or under 24 if a full-time student, or any age if permanently and totally disabled. Residency: Live with you for more than half the year, with some exceptions. Support: Get more than half their financial support from you.

How long can children stay on parents insurance in Florida?

The Patient Protection and Affordable Care Act permits married or unmarried dependent children to be covered under the health plans to the age of 26. An unmarried dependent child may be covered for health beyond age 26 to age 30, if the criteria established by Florida Statute are satisfied (see following Q A).

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