Utah Administrative Code
Topic - Insurance
Title R590 - Administration
Rule R590-259 - Dependent Coverage to Age 26
Section R590-259-4 - Eligibility for Dependent Coverage to Age 26; Uniformity of Plan Terms
Current through Bulletin 2024-06, March 15, 2024
(1) A health insurer that provides dependent coverage shall make that coverage available until the end of the month the child turns 26 years of age.
(2) With respect to a child who has not turned 26 years of age, an insurer may not define a dependent for purposes of eligibility other than in the terms of a relationship between a child and the insured.
(3) An insurer may not deny or restrict coverage for a child who has not turned 26 years of age based on:
(4) The dependent coverage may not vary based on age except for a dependent with a disability.
(5) A group grandfathered plan issued before January 1, 2014, may exclude an adult child who has not turned 26 years of age if the adult child is eligible to enroll in an eligible employer-sponsored health benefit plan, as defined in section 5000A(f)(2) of the Internal Revenue Code, other than an eligible employer-sponsored health benefit plan of a parent.
