Sec. 38a-497. (Formerly Sec. 38-174r). Termination of coverage of children in individual policies.
Sec. 38a-497. (Formerly Sec. 38-174r). Termination of coverage of children in
individual policies. Every individual health insurance policy providing coverage of the
type specified in subdivisions (1), (2), (4), (6), (10), (11) and (12) of section 38a-469
delivered, issued for delivery, amended or renewed in this state on or after January 1,
2009, shall provide that coverage of a child shall terminate no earlier than the policy
anniversary date on or after whichever of the following occurs first, the date on which
the child: Marries; ceases to be a resident of the state; becomes covered under a group
health plan through the dependent's own employment; or attains the age of twenty-six.
The residency requirement shall not apply to dependent children under nineteen years
of age or full-time students attending an accredited institution of higher education.
(P.A. 82-143; P.A. 90-243, S. 87; P.A. 07-185, S. 16; June Sp. Sess. P.A. 07-2, S. 64, 69; P.A. 08-147, S. 8.)
History: P.A. 90-243 substituted reference to health insurance policies for reference to hospital or medical expense
policies and contracts and specified applicability solely to individual policies; Sec. 38-174r transferred to Sec. 38a-497 in
1991; P.A. 07-185 prohibited termination of coverage of a child prior to the policy anniversary date on or after the earliest
of the date on which the child marries, ceases to be a resident of the state or attains the age of 26, for any policy delivered,
issued for delivery, amended or renewed on or after October 1, 2007, effective July 1, 2007; June Sp. Sess. P.A. 07-2
changed effective date of P.A. 07-185, S. 16 to January 1, 2009, effective June 26, 2007, and applied provisions to policies
delivered, issued for delivery, amended or renewed in this state on or after January 1, 2009, and made provisions allowing
children to maintain coverage until age 26 contingent upon children remaining state residents, except for full-time attendance at an out-of-state accredited institution of higher education or residency with a custodial parent pursuant to a child
custody determination, effective January 1, 2009; P.A. 08-147 revised conditions upon which coverage of a child terminates
by adding provision re coverage under a group health plan through a dependent child's own employment, deleting custodial
parent provision, and specifying that dependent children to age 19 are exempt from state residency requirement, effective
January 1, 2009.
See Sec. 38a-554 for similar provisions re group policies.