Tidewater Pest Control Association


Health Reform Updates

Hi Association Executive,

Hope all is well.

Below is a Health Reform Legislation update as it pertains to age 26 and pre-existing conditions.

I want to be sure that I keep you in the loop. :-)

Please le me know if you have any questions.


Dedicated to Your Success...
Suzanne Stewart
Associations - Sr. Acct. Executive
Optima Health

1604 Santa Rosa Road - Suite 100
Richmond, VA 23229

(804) 510-7433
(804) 901-1082 (Cell)
(804) 510-7453 (Fax)

Please be sure to ask me about Optima Health's Association program or visit www.optimahealth.com/associations

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Health Reform Legislation As part of continued efforts to keep you informed of our plans to implement the changes set forth by health reform, we would like to share our policy regarding the legislation that extends parent's coverage of young people up to age 26, regardless of student status, and pre-existing conditions for dependents under age 19*. For Group Plans
In compliance with the law, the Optima Health Task Force has decided that, as groups renew, on or after September 23, 2010, dependents between the ages of 19 and 26 can be enrolled during the month of the group's renewal regardless of the dependent's student status. The subscriber will have 30 days to add the dependent for the effective date of coverage.
The following example may help you understand this change: If a subscriber has a plan with an effective date of October 1, 2010, or later, and decides to add their 23 year old dependent, the subscriber will have thirty days from the time that their employer provides written notice, during the open enrollment period or at renewal, to make this change. If the child is added within the 30 day enrollment period, coverage will begin on the group's effective date. If the subscriber does not add the dependent at their open enrollment, they will have to wait until the group's next open enrollment or qualifying event to add the dependent. For Individual Plans
Effective September 23, 2010, dependents of policyholders who are under the age of 19 will not be subject to exclusions of pre-existing conditions (guaranteed issue).
Also effective September 23, 2010, dependents up to age 26 will be eligible to apply for coverage under their parent's plan. As more decisions and information become available, we will notify you. Please continue to check our Web site, optimahealth.com, for up-to-date information on health reform. *Polices of Optima Health are subject to the provisions of the Patient Protection and Affordable Care Act (PPACA) (Pub. L. No. 111-148), the Health Care and Education Reconciliation Act of 2010 (Reconciliation Act) (Pub. L. No. 111-152), and any regulation issued by the Secretary. 
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