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For the majority of our plans, child dependent coverage ends when they reach 20 years old. However, coverage can be extended until the age of 24 for child dependents who are full-time students.
This adjustment is not completed by National HealthClaim, but is a part of the plan administrator role to monitor and change, as needed. We recommend informing employees that they can come to you and request this change with documents to confirm student enrolment.
Once you have approved the request, complete the following steps to make the change in the system.
1. Login and go to "Plan Administration Menu" and then click on "Edit/Enter Employee Information"
2. Find the employee's name on your employee list. Go on the "Dependents" column beside their name and click on the "Dependents" link.
3. Click on the "Eligibility" link beside the relevant dependent
4. Click on "Add Date Range" and then enter in the range of dates the dependent is enrolled as a full-time student. Click on "Save."
Note: This section has has an ability to add an "Inactive Date Range" for the dependent. This is only to be used, if for some reason, coverage needs to be restricted for a dependent for a range of time.
Summary
For the majority of our plans, child dependent coverage ends when they reach 20 years old. However, coverage can be extended (typically until the age of 24) for child dependents who are full-time students.
Please note your plan dependent age limits may differ, but in most cases a dependent is eligible for extended coverage as a Student up to a certain age limit.
As a plan administrator, it is your responsibility to make this Student Status change for your employee’s dependents. This adjustment is not completed by National HealthClaim.
We recommend informing employees that they can come to you and request this change with documents to confirm student enrolment.
Once you have approved the request, complete the following steps to make the change in the system.
Add Student Status coverage to dependents
1. Login and click on the "Employees" tab.
2. Locate the employee whose dependent you want to add Student Status to and click on their name.
3. Click on the "Date Ranges" tab.
4. Click the "+ Add date range" blue button to trigger a pop-up window.
Within this pop-up window, you have the ability to complete a series of tasks including adding an inactive date range for an employee or their dependents, and applying Student Status to dependents.
For the purpose of this article, here is how to apply a Student Status to an employee’s dependent:
Under the ‘Range Type’ field, choose ‘Student’ as your selection.
- Under the ‘Dependent ID’ field, choose the Dependent who you wish to apply Student Status to.
- Enter a date range where you know the dependent is enrolled as a full-time student. If you leave the ‘To Date’ field blank, the dependent will have coverage until they automatically reach the Maximum Student Age limit, as defined by the plan.
5. Click on "Save" to confirm your changes.
Please note, you are able to edit any Student Status, as needed. Our claim team processes an employee’s claim based on the information on the employee’s account at the time of review.
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