State Health Plan Incapacitated Dependent Application Guideleines and instructions State Health Plan 2025

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You can stay on a parents plan until you turn 26 Generally, you can join a parents plan and stay on until you turn 26 even if you: Get married. Have or adopt a child.
The Plan provides health care coverage to more than 700,000 teachers, state employees, retirees and their dependents. The Plan contracts with a Third Party Administrator, currently Aetna, to provide a provider network and process health care claims. Approved claims are paid by the state using taxpayer provided funds.
You can stay on a parents plan until you turn 26 Generally, you can join a parents plan and stay on until you turn 26 even if you: Get married. Have or adopt a child. Start or leave school.
States may have varying eligibility rules, but in most states, uninsured children under the age of 19 whose families earn up to $36,200 a year (for a family of four) are eligible. SCHIP provides coverage for: doctor visits.
The birthday rule determines primary and secondary insurance coverage when children have coverage under both parents insurance policies. The birthday rule says primary coverage comes from the plan of the parent whose birthday comes first in the year.
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Eligible Dependents Spouse. Your dependent children up to age 26, who are (1) a natural or legally adopted child of the subscriber, (2) foster child of the subscriber, (3) a child for which the subscriber is a court-appointed guardian, or (4) stepchild of a member who is married to the stepchilds natural parent.

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