Florida Statutes 627.6615 – Children with disabilities; continuation of coverage under group policy
Current as of: 2024 | Check for updates
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(1) A group health insurance policy or health care services plan contract that is delivered or issued for delivery in this state and that provides that coverage of a dependent child of an employee or other member of the covered group terminates upon attainment of the limiting age for dependent children specified in the policy or contract must also provide in substance that attainment of the limiting age does not terminate the coverage of the child while the child continues to be both:
(a) Incapable of self-sustaining employment by reason of an intellectual or physical disability.
Terms Used In Florida Statutes 627.6615
- Contract: A legal written agreement that becomes binding when signed.
- Dependent: A person dependent for support upon another.
- group health insurance policy: include plans of self-insurance providing health insurance benefits. See Florida Statutes 627.652
- insurance: include the benefits provided under a plan of self-insurance. See Florida Statutes 627.652
(b) Chiefly dependent upon the employee or member for support and maintenance.
(2) If a claim is denied under a policy or contract for the stated reason that the child has attained the limiting age for dependent children specified in the policy or contract, the notice of denial must state that the certificateholder or subscriber has the burden of establishing that the child continues to meet the criteria specified in subsection (1).