| Act fast to preserve your grads
health-care coverage By
DEBORAH STAYMAN
Its hard to say who looks forward more to
Graduation Day students or parents.
But some of that joy can sour when they learn dependents
over the age of 19 usually lose family health insurance
coverage once they leave school. But coverage can be
extended for a while if you act quickly.
So, if you have a child who is age 19 or older enrolled
in the NYS Health Insurance Program (NYSHIP) as your
dependent, make sure right away if he or she is still
eligible for coverage.
Your unmarried dependent children ages 19 through 24 are
eligible if they are full-time students at an accredited
educational institution.
Dependent student coverage continues over the summer
months only if your child is enrolled for the fall
semester and was enrolled in this spring semester as a
full-time student.
If your child is not enrolled in school for the fall
semester, NYSHIP coverage will end on the last day of the
month in which your child completes his or her course
requirements (exams), not graduates.
If you want your child to continue to be covered without
interruption, you must act quickly in one of two ways:
Either continue coverage in NYSHIP under COBRA (the
federal Consolidated Omnibus Budget Reconciliation Act),
or convert to direct-pay contracts.
The health-care benefits your child may continue under
COBRA are the same benefits you receive as an active
employee enrolled in NYSHIP. COBRA requires that your
child have the opportunity to continue coverage for up to
36 months. The cost of COBRA coverage is the full premium
(both the employer and employee share), plus a 2 percent
administrative fee.
You have 60 days from when coverage ends to extend the
coverage under provisions of COBRA by notifying the
Employee Benefits Division (EBD) of the state Department
of Civil Service.
To obtain a COBRA election form, send a written request
to:
NYS Department of Civil Service
Employee Benefits Division
Attn: COBRA Unit
State Office Building Campus
Albany, NY 12239
Include your Social Security number, the dependents
name, the reason for the request, the date coverage
ended, and a telephone number where you can be reached.
If your child is trying to get into a school but
hasnt yet been accepted, you could continue
coverage through COBRA. Once hes enrolled for the
fall semester, his dependent-student status will be
reinstated back to the date he lost eligibility and the
COBRA premiums you paid during the interim will be
refunded.
Another option is to convert to a direct-pay contract for
your child.
But both rules and deadlines for applying and the
benefits available vary among the NYSHIP health-care
plans, so contact your carrier or HMO directly.
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