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Dependent Children age 19 to 24
Graduate
Certifying Dependent Children Age 19 to 24
 
To cover dependent children age 19-24 in the next plan year, you must certify their continuing eligibility before the start of the new plan year. You may do so online or by submitting the required form (below) to your agency during Open Enrollment.
 
It is your responsibility to notify the agency when any dependent no longer qualifies for coverage. Not providing notification may cause you to have to repay claims expenses incurred when the individual no longer qualifies for coverage. View the discussion in Summary Plan Desciription on dependents eligible for coverage. 
 
The PEBB qualified dependent child flow chart helps determine if a dependent child qualifies for coverage in PEBB.

Dependent Certification Form
Dependent Certification form

 
Page updated: January 13, 2009

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