Disabled Dependents
You can arrange for coverage to continue past the customary age limits for an unmarried child who is incapable of self-support because of a physical or mental disability, as certified by a Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.), provided the child's disability began and was certified through the PG&E Disabled Dependent process before he or she became otherwise ineligible for coverage. Your child must depend chiefly on you for support in order to qualify for the continued coverage and must also meet the definition of an Eligible Dependent.
For eligible dependents who are disabled and currently enrolled in a PG&E-sponsored health plan, you must contact the medical plan vendor directly to be certified before your disabled dependent loses eligibility. Loss of eligibility typically occurs at age 26. If you do not complete the certification on time, your disabled dependent can no longer be enrolled in the plan, effective the first of the month in which he or she is no longer eligible.
You must apply for continued coverage under a PG&E-sponsored medical plan for a disabled dependent within 31 days of the date on which your child's coverage would ordinarily end. Written proof of your child's continuing dependency must be provided upon request, but not more frequently than once a year after the two-year period following the child's attainment of the limiting age.
For more information about whether or not a dependent is eligible for coverage or to be certified, please contact your benefit plan vendor. Contact information for each benefit plan vendor is listed in the Rules, Regulations & Administrative Information and Contacts sections of this Handbook.