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Terming enrollment at the end of the month following a 26th birthday

in Benefits 2 comments

Summary:

How do we configure to allow children to stay on the plan until the end of the month of their 26th birthday

Content (please ensure you mask any confidential information):

Major medical plans that offer dependent coverage are required to make coverage available for an employee’s child until the child’s 26th birthday, regardless of the child’s residency, financial dependence, student status, employment, or other factors. In addition, an applicable large employer (ALE) subject to the ACA pay or play mandate will face potential penalties if they do not offer coverage to full-time employees and any dependent children. Regulations implementing the ACA pay or play mandate specifically provide that a child is a “dependent” for the entire calendar month during which he or she attains age 26

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