Bill

Bill > S3843


NJ S3843

Requires continuation of health benefits dependent coverage for certain children with disabilities who are 26 years of age or older.


summary

Introduced
10/28/2024
In Committee
10/28/2024
Crossed Over
Passed
Dead

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill requires health insurers (health, hospital and medical service corporations, commercial group health insurers; health maintenance organizations, and health benefits plans issued pursuant to the Individual Health Coverage Program and the Small Employer Health Benefits Program) and group health plans that provide dependent coverage of children to continue to make that coverage available for adult children who are 26 years of age or older if the child is: (1) incapable of self-sustaining employment by reason of intellectual disability or physical handicap; (2) and is chiefly dependent upon the subscriber for support and maintenance.

AI Summary

This bill requires health insurance providers in New Jersey to continue providing dependent coverage for adult children over 26 years old under specific circumstances. Specifically, the bill mandates that health insurance contracts, policies, and group health plans must offer coverage for an adult child who is 26 years or older if two key conditions are met: first, the child must be incapable of self-sustaining employment due to an intellectual disability or physical handicap, and second, the child must be primarily dependent on the subscriber (such as a parent) for support and maintenance. The bill amends existing laws across several types of health insurance providers, including hospital service corporations, medical service corporations, health service corporations, group health plans, and health maintenance organizations. This extension of coverage is designed to ensure that adult children with significant disabilities can remain on their parents' health insurance plans beyond the standard age limit of 26, providing continued financial and medical support for those who cannot independently support themselves due to their disability.

Committee Categories

Business and Industry

Sponsors (5)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 10/28/2024)

bill text


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