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§ 752.1. Health insurance coverage for certain children of insured parents

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 40 P.S. InsuranceEffective: September 8, 2009

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 40 P.S. Insurance (Refs & Annos)
Chapter 2. Insurance Companies (Refs & Annos)
Article VI. Casualty Insurance (Refs & Annos)
(b) Health and Accident Insurance (Refs & Annos)
Effective: September 8, 2009
40 P.S. § 752.1
§ 752.1. Health insurance coverage for certain children of insured parents
(a) An insurer that issues, delivers, executes or renews group health care insurance in this Commonwealth under which coverage of a child would otherwise terminate at a specified age shall, at the option of the policyholder, provide coverage to a child of an insured employe beyond that specified age, up through and including the age of 29, at the insured employe's expense, and provided that the child meet all of the following requirements:
(1) Is not married.
(2) Has no dependents.
(3) Is a resident of this Commonwealth or is enrolled as a full-time student at an institution of higher education.
(4) Is not provided coverage as a named subscriber, insured, enrollee or covered person under any other group or individual health insurance policy or enrolled in or entitled to benefits under any government health care benefits program, including benefits under Title XVIII of the Social Security Act (49 Stat. 620, 42 U.S.C. § 1395 et seq.).
(b) Insurers may determine increases in premiums related to continuation of coverage for the adult dependent past the limiting age of nineteen.
(c) This section shall not include the following types of insurance or any combination thereof:
(1) Hospital indemnity.
(2) Accident.
(3) Specified disease.
(4) Disability income.
(5) Dental.
(6) Vision.
(7) Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) supplement.
(8) Medicare supplement.
(9) Long-term care.
(10) Other limited benefit plans.
(11) Individual health insurance policies.
(d) For the purpose of this section:
“Health care insurance” means a group health, sickness or accident policy or subscriber contract or certificate issued by an entity subject to any one of the following:
(1) This act.
(2) The act of December 29, 1972 (P.L. 1701, No. 364),1 known as the “Health Maintenance Organization Act.”
(3) The act of May 18, 1976 (P.L. 123, No. 54),2 known as the “Individual Accident and Sickness Insurance Minimum Standards Act.”
(4) 40 Pa.C.S. Ch. 61 (relating to hospital plan corporations) or 63 (relating to professional health services plan corporations).
(5) Article XXIV.3


1921, May 17, P.L. 682, art. VI, § 617.1, added 2009, June 10, P.L. 42, No. 4, § 2, effective in 90 days [Sept. 8, 2009].


40 P.S. § 1551 et seq.
40 P.S. § 776.1 et seq.
40 P.S. § 991.2401 et seq.
40 P.S. § 752.1, PA ST 40 P.S. § 752.1
Current through 2022 Regular Session Act 121. Some statute sections may be more current, see credits for details.
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