Young Adult Option

(ENROLLMENT VIA FORM ONLY)

Effective September 1, 2009 New York passed a  law that gives dependent children the right to continue medical coverage (which includes vision), up to age 30, after they reach the maximum child age in their parent’s policy (“Young Adult Option”).   Under New York's Young Adult Option, the parent subscriber must be covered for the child to become or remain covered under this law. The child does not have to live with a parent, be financially dependent on a parent, or be a student to be covered. He or she must meet all the following criteria:

  • Be less than 30 years of age;
  • Be unmarried;
  • Live, work or reside in New York State, or in the insurer's network service area for the plan;
  • Not be eligible for coverage as participant of any other New York-insured or self-insured employee health plan; and
  • Not be covered under Medicare.

Since the law became effective for policies that renewed on or after September 1, 2009, the Young Adult Option was added to Pace University’s medical plan effective July 1, 2010, which is the first contract renewal date after September 1, 2009.  Dependent children can sign up for Young Adult coverage:

  • During an initial 12 month ‘special enrollment’ period, which begins when the parent’s group policy is renewed on July  1, 2011;
  • Within 60 days after reaching the maximum age or experiencing a qualifying life status change, as described in the parent’s plan;
  • During any future Open Enrollment period held for the group plan.

If you have a dependent on COBRA because they aged off of the Pace University medical plan, they may elect the Young Adult Option at this time. Please keep in mind that once COBRA coverage is waived, it may not be reinstated.

Please note that Pace University’s dependent eligibility for the CIGNA medical plans will remain at age 26, with coverage until the end of the calendar year. Upon aging off the medical plan, the dependent will have the opportunity to enroll in the Young Adult Option or COBRA.

For those dependents aging off the plan that elect the Young Adult Option, it will provide an extension to coverage to age 30. Continuation will cease on the earliest of the following events:

  • The dependent’s 30th birthday;
  • The dependent voluntarily terminates coverage;
  • The  employee (insured) loses coverage;
  • The date the dependent become covered under another group plan*;
  • The  date the dependent marries*;
  • The date on which a premium due is not paid.

*A dependent who loses coverage and then regains eligibility by getting divorced, or losing other coverage may again apply for coverage. Thus, a dependent can go in and out of this continuation coverage as he or she loses coverage and then becomes eligible once again.

This extension coverage is to be paid for 100% by the dependent. Pace University will not contribute to the cost of the dependent’s premium. The premium for the Young Adult Option will be billed by and shall be paid directly to Pace. As permitted by the law, CIGNA will charge 100% of the single subscriber or employee rate for each dependent enrolled in the Young Adult Option.


Young Adult Option Premium Rates

Monthly Contributions Effective from July 1, 2013 through June 30, 2014

Covered Parent’s Medical Plan

Coverage

CIGNA HDHP/HSA

CIGNA In‐Net 50

CIGNA In‐Net 20

CIGNA
90/70

CIGNA 100/70

Individual

$722.90

$749.90

$812.46

$850.24

$1,027.58

 

Young Adult Option Enrollment Form  (Please return completed form to the University Benefits Office)

Young Adult Option FAQs


COMPARISON of Young Adult and COBRA Rates 2013-2014


CIGNA HDHP/HSA Plan
Young Adult Rate
$722.90      

COBRA Rate (Including 2% Administration Fee)
 $737.35


CIGNA In-Net 50 Plan
Young Adult Rate
$749.90 

COBRA Rate (Including 2% Administration Fee)
$764.89

CIGNA In-Net 20 Plan  
Young Adult Rate
$812.46    

COBRA Rate (Including 2% Administration Fee)
$828.70
      
CIGNA 90/70 Plan
Young Adult Rate    
$850.24  

COBRA Rate (Including 2% Administration Fee)
$867.24
      
CIGNA 100/70 Plan  
Young Adult Rate
$1,027.58       

COBRA Rate (Including 2% Administration Fee)
$1,048.13

 

Monthly Contributions Effective from July 1, 2014 through June 30, 2015

Covered Parent’s Medical Plan

Coverage

CIGNA HDHP/HSA

CIGNA In‐Net 50

CIGNA In‐Net 20

CIGNA
90/70

CIGNA 100/70

Individual

$757.82

$786.12

$851.70

$891.31

$1,077.21

 

COMPARISON of Young Adult and COBRA Rates 2014-2015


CIGNA HDHP/HSA Plan
Young Adult Rate
$757.82

COBRA Rate (Including 2% Administration Fee)
$772.98

CIGNA In-Net 50 Plan
Young Adult Rate
$786.12

COBRA Rate (Including 2% Administration Fee)
$801.84

CIGNA In-Net 20 Plan
Young Adult Rate
$851.70

COBRA Rate (Including 2% Administration Fee)
$868.73

CIGNA 90/70 Plan
Young Adult Rate
$891.31

COBRA Rate (Including 2% Administration Fee)
$909.14

CIGNA 100/70 Plan
Young Adult Rate
$1,077.21

COBRA Rate (Including 2% Administration Fee)
$1,098.75