If Your Children Become Ineligible for Coverage
Your children are eligible for the Company-sponsored medical coverage until the end of the month in which they reach age 26 or until the end of the month in which they become eligible for other coverage from a different employer – whichever occurs first.
  • To terminate medical coverage for an ineligible child, call the PG&E Benefits Service Center at 866-271-8144 (open weekdays from 7:30 a.m. to 5 p.m. Pacific time) within 31 days of your child's loss of eligibility.
It is your responsibility to ensure that your enrolled dependents are eligible. If you cover ineligible dependents, you will be required to pay the Company an amount equal to the cost of the insured or HMO premiums (or self-insured premium equivalents) for the period of time during which an ineligible dependent is enrolled, up to a maximum of two years of premiums or premium equivalents.
If you are a retiree or surviving dependent and you do not pay your required restitution for covering an ineligible dependent, your coverage will be permanently cancelled and you will not be able to re-enroll in a PG&E-sponsored medical plan again.
A child who becomes ineligible for coverage through the Company may have the option to:
  • apply for continued coverage in your current plan under COBRA for a period of up to 36 months; or
  • convert coverage to an individual policy with your current medical plan carrier.
Here's how to make you choice:
  • To apply for continued coverage under COBRA, you or your child must complete the appropriate COBRA forms within 60 days. COBRA forms will be automatically provided to your child, if he or she is eligible, when you notify the PG&E Benefits Service Center of your child's loss of eligibility.
  • To convert to an individual policy, contact the medical plan carrier directly within 31 days of the date on which coverage ends.
For more details on COBRA and conversion, see the "COBRA and Conversion to an Individual Medical Policy" subsection of the Health Care Participation section of this Handbook.