Continuation of Coverage for Overage Disabled Dependent
An unmarried child of age 26 or older may continue as a dependent if the child meets the following conditions:
- The child is incapable of self-support by reason of mental or physical disability.
- The child is mainly dependent on the employee for support and maintenance.
REQUIRED DOCUMENTATION
Aetna requires the following documents to be completed and submitted. The employee instructions and important notes are all listed on page 1 of the documents.
- For groups headquartered internationally, the forms below should be sent to TBS (globalbilling@tbsmga.com). TBS will then send the documents to our eligibility consultant for review. Please allow seven to 10 business days processing time after which a decision will be made (approval or denial).
- For WA and AK groups, the member should send the below forms directly to Aetna for review and approval. They can either be mailed or faxed to:
AETNA
PO Box 981106
El Paso, TX 79998-1106
FAX: 859-455-8650- Continuation of Coverage Disabled Child Form - Domestic
- Disabled Child Attending Physician Statement Form - DomesticDisabled Child
Any follow up for the decision status should be done by the member through Aetna Member Services.
Related Articles
Continuation of Coverage for Overage Disabled Dependent
An unmarried child of age 26 or older may continue as a dependent if the child meets the following conditions: The child is incapable of self-support by reason of mental or physical disability. The child is mainly dependent on the employee for ...Continuation of Coverage
Alaska No state continuation coverage is available. Idaho No state continuation coverage is available. Washington Employee members and/or their dependents may continue coverage for up to six (6) months if they are no longer eligible for coverage. ...Cancelling Group Coverage
Renewal policy cancellations require written notification on company letterhead of intent to cancel within 30 days of the renewal. Cancellations other than at renewal also require 30 days advance notice on company letterhead. If advance notice is not ...Non-Renewal of Coverage
Aetna reserves the right to terminate the group health benefits plan for reasons including, but not limited to, the following: • Material misrepresentation • Non-payment of premium • Failure to meet the minimum contribution and/or participation ...Employee Eligibility & Guidelines
For Groups Headquartered Domestically Employee Eligibility We will allow employers to cover employees who work 20 hours or more. It includes self-employed individuals, a sole proprietor, or a partner of a partnership if the sole proprietor or partner ...