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Assembly Bill 910 - Dependent Limiting Age Legislation

Effective immediately, your fully insured health insurance contracts are required to change contract language / and internal policies in order to be in compliance with AB910.  Read on for legislative specifics.

•  Currently your fully insured health plan requires health plans to continue covering a child who “attains a limiting age specified in the plan if the child is both incapable of self-sustaining employment by reason of mental retardation or a physical handicap and chiefly dependent upon the subscriber for support, provided that proof of those facts is furnished within 31 days of the request for the information.”

•  AB910 requires this language to be changed as follow:  “attains a limiting age specified in the plan if the child is both incapable of self-sustaining employment by reason of mental disability, injury, illness or condition or a physical handicap and chiefly dependent upon the subscriber for support, provided that proof of those facts is furnished within 60 days of the request for the information.”  In addition, the legislation requires the health plan to notify the subscriber at least 90 days before the dependent child attains the limiting age.

     

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