Common use of Child-Only Coverage Clause in Contracts

Child-Only Coverage. An individual who meets the eligibility requirements listed above, who is not eligible for CHIP, and who has not reached age 21 as of the coverage effective date, is eligible for a child-only plan. If coverage is purchased through the Marketplace, an Advance Premium Tax Credit (APTC) may be available to the parent or legal guardian who purchases coverage on behalf of a qualifying dependent child. In determining the parent’s/legal guardian’s premium tax credit eligibility, a qualifying dependent child is defined as: i. A child of the taxpayer or descendent of such child. The brother, sister, stepbrother, or stepsister of the taxpayer or a descendent of any such relative; ii. Has the same principal place of residence as the taxpayer for more than half of the year; Has not reached the age of 19 by the end of the calendar year, is a student who has not reached the age of 24 by the end of the calendar year, or is permanently disabled; and iii. has not provided over one-half of his or her own support for the calendar year; and has not filed a joint return with his or her spouse. iv. As specified by the Affordable Care Act (ACA), the parent/legal guardian who claims the child on their tax return must provide that child with coverage.

Child-Only Coverage. An individual who meets the eligibility requirements listed above, who is not eligible for CHIP, and who has not reached age 21 as of the coverage effective date, is eligible for a child-only plan. If coverage is purchased through the Marketplace, an Advance Premium Tax Credit (APTC) may be available to the parent or legal guardian who purchases coverage on behalf of a qualifying dependent child. In determining the parent’s/legal guardian’s premium tax credit eligibility, a qualifying dependent child is defined as: i. A child of the taxpayer or descendent of such child. The brother, sister, stepbrother, or stepsister of the taxpayer or a descendent of any such relative; ii. Has has the same principal place of residence as the taxpayer for more than half of the year; Has has not reached the age of 19 by the end of the calendar year, ; is a student who has not reached the age of 24 by the end of the calendar year, ; or is permanently disabled; and iii. has not provided over one-half of his or her own support for the calendar year; and has not filed a joint return with his or her spouse. iv. As specified by the Affordable Care Act (ACA), the parent/legal guardian who claims the child on their tax return must provide that child with coverage.