Mandate to Cover Children to Age 26


Purpose:

To eliminate retroactive termination of health coverage


Intent:

To safeguard individuals from being left with large health claims to pay due to retroactive termination of coverage and to assure that individuals receive the plan coverage promised while they were enrolled


Health Plans Affected by this Provision:

Tax free coverage for children to age 26


Year Effective: 2010
Medical Plan: Yes (Grandfathered plans in effect and has not significantly changed in coverage or premium share since March 23, 2010 are excused from covering child covered through own employment until 2014)
Dental/Vision Plan: No, if stand-alone benefit excepted from HIPAA’s portability provisions
HRA: Yes, unless benefit excepted from HIPAA’s portability provisions
Health Care FSA: Yes

Document Downloads:


Document Title Last Updated
Mandate to Cover Children to Age 26 Flyer  
Foster Child and Stepchild Coverage not Required  
ACA Reform and BESTflex Plan Overview  
DOL FAQ: Coverage to 26  
Location (map)
1350 Deming Way, Ste 300
Middleton, WI 53562-4640

Mail Address
PO Box 44347
Madison, WI 53744-4347