New Jersey Administrative Code
Title 17 - TREASURY - GENERAL
Chapter 9 - STATE HEALTH BENEFITS PROGRAM
Subchapter 13 - CHAPTER 375 DEPENDENTS
Section 17:9-13.1 - Eligibility criteria
Universal Citation: NJ Admin Code 17:9-13.1
Current through Register Vol. 56, No. 6, March 18, 2024
(a) In order for a dependent to qualify for and remain eligible for SHBP coverage after age 26 as a Chapter 375 dependent, the dependent must be a covered person's child by blood or law who:
1. Is 30 years of age or younger;
2. Is unmarried;
3. Has no dependent of his or her own;
4. Is a New Jersey resident or enrolled as a full-time student at an accredited public or private institution of higher education; and
5. Is not actually provided coverage as a named subscriber, insured, enrollee, or covered person under any other group or individual health benefits plan, group health plan, church plan, or health benefits plan, or entitled to benefits under either Title XVIII of the Social Security Act, Pub.L. 89-97 ( 42 U.S.C. §§
1395 et seq.).
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