Member

P.O. BOX 981106 GREGORY D THOMAS

EL PASO TX 79998-1106
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Notice date
04/18/2021

GREGORY D THOMAS
5011 ANNTANA AVE
BALTIMORE MD 21206

RE: GREGORY D THOMAS

Member No. 197747695
Group Control Number: 0842877

Your dependent child's coverage may end soon

Your dependent child's eligibility for medical, dental, behavioral health, vision, and/or pharmacy health
insurance will soon reach the age limit set by your Group Contract.
This coverage is scheduled to end on 05/31/2021.
Is your child permanently disabled?
Your child may remain covered under your group plan if your child:
• Depends on you for more than 50 percent of their support
• Is not able to be self-supporting because of a physical or mental disability that started before the age
limit was reached

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To continue your child's coverage, call us at the telephone number on your ID card. We will send you
the forms you and the doctor need to complete and return to us. You and the doctor have 31 days
from your child's birthday to get these forms to us. We may ask for proof of continued disability and
support in the future.
You have other health care choices when your child's coverage ends
Your child may also want to look into these other health coverage options:
Federal COBRA health continuation option
Your child may apply for COBRA continuation coverage if:
• You currently cover your child on your plan
• Your employer has 20 or more employees
• COBRA applies to your employer's group plan
Your employer can tell you more about COBRA, including the monthly cost, if your child is eligible, what
coverage can be continued (medical, dental, etc.), and how and when to elect COBRA.
COBRA allows your child to continue coverage for up to 36 months.
State continuation, if offered in your state
Some states have continuation laws for children who reach the limiting age. This means your child may be
able to continue your group coverage for a limited time. Each state s continuation law determines who is
eligible to continue coverage, the monthly cost, the length of the continuation period and what coverage
can be continued (medical, dental, etc.).
For more information and to see if your child is eligible for state continuation, contact your employer or call
us at the telephone number on your ID card.

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You can buy individual coverage on your own

Your child may be able to buy an individual health policy from other health insurance companies that offer
these policies in your state. These plans cover pre-existing conditions and your child cannot be turned
down. Your child will need to apply for an individual plan within 60 days from the date their group
coverage ends. Your child can buy these plans online or through a licensed health insurance
representative. To buy an individual plan, you can visit eHealth.com.
eHealth is a licensed insurance agency that offers plans from many insurance companies along with tools
to help you select the plan for your needs and budget. You can also work with a licensed agent to get help
finding a plan.
The Health Insurance Marketplace (Exchange) gives you a way to buy health
insurance
Your child may be able to buy coverage through the Health Insurance Marketplace. The Marketplace will
help your child find health insurance that meets your child s needs and budget. It offers "one-stop shopping"
to find and compare private health insurance options. Your child could be eligible for a tax credit that will
lower the monthly cost right away. Your child can find out the monthly cost, the deductibles and
out-of-pocket costs of a plan before deciding to enroll.
For more information, visit healthcare.gov. Here your child can get an online application for health
insurance coverage and contact information for a Health Insurance Marketplace in your area.
We're here to help
If you need help, please call us at the toll-free number on your ID card. Or you can log onto your secure
member website and send us a secure e-mail message. This member website is a secure online member
(subscriber) self-service site available 24/7. Registration and log-on is required.
Thank you for your prompt attention to this matter and for your continued membership.

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Aetna complies with applicable Federal civil rights laws and does not discriminate, exclude or treat people
differently based on their race, color, national origin, sex, age, or disability. Aetna provides free aids/services to
people with disabilities and to people who need language assistance. If you need a qualified interpreter, written
information in other formats, translation or other services, call the number on your ID card. If you believe we
have failed to provide these services or otherwise discriminated based on a protected class noted above, you can
also file a grievance with the Civil Rights Coordinator by contacting: Civil Rights Coordinator, PO Box 14462,
Lexington, KY 40512 (CA HMO customers: PO Box 24030 Fresno, CA 93779), Tel: 800-648-7817, TTY: 711,
Fax: 859-425-3379 (CA HMO customers: 860-262-7705), E-Mail: CRCoordinator@aetna.com. You can also
file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights
Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or at: U.S. Department of Health and
Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, or at
800-368-1019, 800-537-7697 (TDD).

Aetna is the brand name used for products and services provided by one or more of the Aetna group of
subsidiary companies, including Aetna Life Insurance Company, Coventry Health Care plans and their affiliates
(Aetna).

Aetna is the brand name used for products and services provided by one or more of the Aetna brand of subsidiary companies, including Aetna Life Insurance
Company and its affiliates (Aetna).
©2013 Aetna Inc

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**MD
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