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Coverage for Adult Children

Coverage for Eligible Dependent Children - Patient Protection and Affordable Care Act (Health Care Reform)

Effective July 1, 2011 under the University of Pittsburgh insurance plans:

  • Children, up to the age of 26, are eligible for medical, dental, and vision coverage under their parent's insurance provided they meet the requirements under the Patient Protection and Affordable Care Act (Health Care Reform).

Forms  

 

Coverage for Eligible Dependent Children - Pennsylvania Act 4 (discontinued as of June 30, 2011)

Children, between the ages of 26 and 30 and enrolled in coverage under their parent's insurance as of June 30, 2011, will be grandfathered for coverage provided they meet the requirement under PA Act 4.

Act 4, signed into law by Pennsylvania Governor Edward G. Rendell, allows uninsured single, adult children up to the age of 30 to be covered under their parent's health insurance plan. Coverage is dependent upon the employers' willingness to offer this benefit to its employees. The University of Pittsburgh is choosing to offer this coverage effective January 1, 2010.. However, this change in legislation does not apply to dental and vision coverage. 

Beginning January 1, 2010, dependents will be eligible for coverage if they meet all five ofthe following criteria: 

  • Age is between 19 and 30 
  • Not married 
  • Have no dependents of his/her own 
  • A resident of Pennsylvania or enrolled as a full-time student 
  • Are not provided health insurance by any other policy or enrolled/eligible for other government health care program 

Depending on the level of medical coverage you are currently enrolled in, there could be a change to your medical benefit elections (for example moving from two adults to family coverage) as a result of enrolling your dependent. Ifthis change in your medical plan occurs this will result in a higher premium cost for you.