(a) If children are eligible for coverage under the terms of an evidence of coverage, any limiting age applicable to an unmarried child of an enrollee, including an unmarried grandchild of an enrollee, is 25 years of age. The limiting age applicable to a child must be stated in the evidence of coverage.
(b) A health maintenance organization may provide benefits under a health care plan to an enrollee’s dependent grandchild who is living with and in the household of the enrollee.

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Terms Used In Texas Insurance Code 1271.006

  • Dependent: A person dependent for support upon another.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.