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  • Affidavit Of Extended Dependent Eligibility Age 26 30 Jhs

Get Affidavit Of Extended Dependent Eligibility Age 26 30 Jhs

AFFIDAVIT OF EXTENDED DEPENDENT ELIGIBILITY (AGE 26 30 JHS) Florida Statute 627.6562 EMPLOYEE INFORMATION Name: AvMed Member ID #: Address: City: State/Zip: Contact Phone: Date of Birth: DEPENDENT.

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The person to whom you are legally married. Your biological child, child with a qualified medical support order, legally adopted child, or child placed in the home for the purpose of adoption in ance with applicable state and federal laws through the end of the calendar year in which he/she turns age 26.

Florida Statute Chapter 627.6562 stipulates that the child must be a) unmarried without any dependents, b) a resident of the state of Florida or a full time/part time student and c) is not provided coverage or is not a covered person under any other group health insurance policy or individual health benefits plan, or ...

The Affordable Care Act requires plans and issuers that offer dependent child coverage to make the coverage available until a child reaches the age of 26. Both married and unmarried children qualify for this coverage. This rule applies to all plans in the individual market and to all employer plans.

For a dependent to be eligible, they need to be claimed as such by the employee for tax purposes, reside in the United States, and have a valid Social Security Number or equivalent. Examples of eligible dependents can include: Spouses. Children (under the age of 26) Siblings.

Florida 627.6562 allows for dependent children up to 25, who live with their parent or are a student, and up to 30 years old, who are also unmarried and have no dependent child of their own, to remain on their parents' insurance.

Eligible dependents will be covered through the end of the calendar year of his/her 26th birthday. Health First will send a notice 30 days prior to the termination requesting an attestation be completed by the subscriber confirming the dependent meets the criteria to have coverage extended to age 30.

State of Florida Law (Florida Statute 627.6562): Requires that extended coverage for adult children over age 26 be offered through the end of the calendar year in which they reach age 30. Extended coverage applies to medical and vision only.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232