Get the free REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN

This document serves to request the continuation of insurance coverage for handicapped children, requiring information from the employee and their child, as well as an attending physician's statement.

How to fill out request for continuation of

How to fill out REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN

1. Obtain the REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN form from your insurance provider or employer.
2. Read the instructions on the form carefully to understand the requirements.
3. Fill in your personal information, including your name, contact details, and policy number.
4. Provide information about your handicapped child, including their name, date of birth, and nature of the disability.
5. Indicate the type of coverage you are requesting for your child and the duration of coverage needed.
6. Attach any required documentation that supports your request, such as medical records or proof of disability.
7. Review the completed form to ensure all information is accurate and complete.
8. Submit the form as instructed, either by mail or electronically, to ensure it reaches the appropriate department.

Who needs REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN?

1. Parents or guardians of children who are handicapped and need continued health insurance coverage beyond the age limits set by their insurance policy.

For pdfFiller’s FAQs

What is REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN?

REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN is a formal application process that allows parents or guardians to request ongoing health insurance coverage for their dependent child who has a disability or is handicapped, beyond the typical age limits or eligibility requirements set by the insurance policy.

Who is required to file REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN?

The parent or legal guardian of the handicapped child is required to file the REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN, usually when the child reaches a certain age or when standard coverage would typically cease.

How to fill out REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN?

To fill out the REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN, the applicant must provide personal information about the child, details about the disability, and documentation that supports the need for continued coverage beyond the standard limitations.

What is the purpose of REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN?

The purpose of the REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN is to ensure that children with disabilities maintain their health insurance coverage, which is vital for their ongoing medical needs and support.

What information must be reported on REQUEST FOR CONTINUATION OF COVERAGE FOR HANDICAPPED CHILDREN?

The information that must be reported includes the child's name, date of birth, details of the disability, any relevant medical information, and the parent's or guardian's contact information, along with any supporting documentation required by the insurance provider.