Surcharge Clarifications on Health Insurance for Children
Posted by admin | Posted in Around The Community, Business Insurance, Health, Miscellaneous, Office News, Personal Insurance, Uncategorized | Posted on 04-04-2011
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In order for a child to be exempt from a surcharge on a child only health insurance plan the child must enroll within the month of their birthdates or have had prior continuous coverage during the 90 day period prior to submitting the application to be exempt from the surcharge.
Enrolling outside of an enrollment period may result in higher rates. as much as 20% for a period not greater than 12 months if the applicant did not have continuous coverage during the 90 days prior to the date of the application and is not a late enrollee compared to the rates available during an open enrollment period.
Applicant may also qualify for late enrollment if they meet other qualifying events. Those events include:
* Loss of coverage due to:
1. Termination or change in employment status of the child or the person whom the child was cvovered
2. Death, of the person through whom the child was covered
3. Cessation of employers contribution.
4. Legal separation or divorce
5. Loss of coverage under Healthy Families Program, Access for Infants and Mothers Program or Medi-Cal Program
6. The adoption of a child.
* The child became a resident of California during a month that was not the childs birth month
*The child is born as a resident of California and did not enroll in the month of birth
* The child is mandated to be covered pursuant to a valid state or federal court order
* The child is within 63 days from their date of birth or adoption
Please note that children must apply for coverage within 63 days from the qualifying event in order to be considered a late enrollee.
For more informationcontact one of our offices in Southern California (City of Industry, Fillmore or Riverside) for a free quote call our office at 877-898-9333




