Dependent Coverage

(a) An issuer of a health benefit plan is required to use reasonable efforts to determine the information needed for a certificate of creditable coverage relating to dependent coverage.

(b) An issuer of a health benefit plan that cannot provide the names or addresses of dependents for providing a dependent's certificate of creditable coverage may satisfy the requirements of §21.1104(b)(3) of this title (relating to Form and Content of Certificate of Creditable Coverage) until June 30, 1998, by providing the name of the individual covered by the issuer of the health benefit plan and specifying that the type of coverage described in the certificate is for dependent coverage (for example: family coverage or employee/spouse coverage).

(c) An issuer of a health benefit plan that issues a written certificate of creditable coverage that does not contain the name of a dependent must furnish a certificate within 21 days after the individual ceases to be covered under the policy.

(d) An issuer of a health benefit plan shall treat an individual as having furnished a certificate of creditable coverage showing the dependent status if the individual attests to the dependent status and the period of such dependency and the individual cooperates with the issuer's efforts to verify the dependent status.

Source Note: The provisions of this §21.1106 adopted to be effective December 22, 1997, 22 TexReg 12513.