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When is a dependent child no longer eligible for coverage?Coverage for a dependent child terminates at the end of the month the child turns 26 or enters into active, full-time military service, whichever occurs first, unless eligible as a disabled dependent. Refer to the COBRA Administration section of this guide for information on how to assist the child in applying for COBRA continuation coverage following termination.If an employee has a disabled dependent child, 26 or over, the child may be eligible for dependent coverage provided that the child is either mentally or physically incapacitated to such an extent that they are dependent on the employee on a regular basis and the child meets other requirements as determined by TRS. The employee (and the dependent%u2019s attending physician) must complete the Disabled Dependent Authorization Form and the Disabled Dependent Physician Certification Form to provide satisfactory proof of the disability and dependency. The form must be submitted within 31 days after the date the child turns 26, or after the event date. To avoid any gap in coverage, the form must be submitted and approved prior to the end of the month the child turns 26, or prior to the event date.Note: The Benefits Administrator does not need to take action to cancel coverage for an over-age dependent. The coverage for the dependent child automatically terminates the last day of the child%u2019s 26th birthday month. Benefits Administrators will also receive an email alert as well as have the alert available on their home page when logging in to bswift that lists all dependents who are approaching 26 in the next 90 days. It is the responsibility of the Benefits Administrator to report the cancellation due to age in their Third-Party enrollment portal. Auto-cancellation does not apply to a dependent over the age of 26 who has already been approved for extended coverage as a disabled dependent. When applicable, the Benefits Administrator will see an adjustment in the employee%u2019s premium on the employer%u2019s billing.Summer DefermentUnder Section 22.004, Texas Education Code, an employee who is participating in TRS-ActiveCare is entitled to continue participating in TRS-ActiveCare if the employee resigns after the end of the instructional year. TRS Rule, Section 41.38, Texas Administrative Code, will be applied by TRS-ActiveCare in determining the appropriate termination date of TRSActiveCare coverage.NOTE: Participants entitled to summer deferment must be given the opportunity to accept or decline TRS-ActiveCare coverage through the remainder of the plan year.Summer Deferment ConsiderationsWhen an employee resigns at the end of the instructional year there are several considerations from an administrative perspective:1. At the time of resignation, it is mandatory to enter a specific last day of coverage (coverage end date) into the system in addition to the employment termination date. Without an explicit coverage termination date, health coverage will remain active and the employee will continue to appear on bills.2. If an employee who resigns moves to another employer that is part of TRS-ActiveCare, they may not have coverage in both employers at once. The following examples illustrate how the system will make adjustments to prevent duplicate coverage and coverage gaps if overlapping coverage is sent on employer files:%u2022 Employee has coverage at employer ABC that ends Aug. 31. Employee elects coverage at employer XYZ effective on actively at work date (Aug. 15). System will adjust coverage effective date at employer XYZ to Sept. 1.%u2022 Employee has coverage at employer ABC that ends July 31. Employee elects coverage at employer XYZ effective on actively at work date (Aug. 15). System will adjust coverage effective date at employer XYZ to Aug. 1 (to prevent a gap).%u2022 Employee has coverage at employer ABC that ends Aug. 31. Employee elects coverage at employer XYZ effective on the first of the following month after starting on July 29. System will adjust coverage end date at employer ABC to July 31.36 www.bcbstx.com/trsactivecareba