Sec. 38a-515. Continuation of coverage of mentally retarded or physically handicapped dependent children.
Sec. 38a-515. Continuation of coverage of mentally retarded or physically
handicapped dependent children. (a) Each group health insurance policy providing
coverage of the type specified in subdivisions (1), (2), (4), (6), (11) and (12) of section
38a-469 delivered or issued for delivery in this state more than one hundred twenty days
after July 1, 1971, which provides that coverage of a dependent child of an employee
or other member of the covered group shall terminate upon attainment of the limiting
age for dependent children specified in the policy shall also provide in substance that
attainment of the limiting age shall not operate to terminate the coverage of the child if
at such date the child is and continues thereafter to be both (1) incapable of self-sustaining
employment by reason of mental or physical handicap, as certified by the child's physician on a form provided by the insurer, hospital or medical service corporation, or health
care center and (2) chiefly dependent upon such employee or member for support and
maintenance.
(b) Proof of the incapacity and dependency shall be furnished to the insurer, hospital
or medical service plan corporation or health care center by the employee or member
within thirty-one days of the child's attainment of the limiting age. The insurer, corporation or center may at any time require proof of the child's continuing incapacity and
dependency. After a period of two years has elapsed following the child's attainment
of the limiting age the insurer, corporation or center may require periodic proof of the
child's continuing incapacity and dependency but in no case more frequently than once
every year.
(P.A. 90-243, S. 99.)
See Sec. 38a-489 for similar provisions re individual policies.