|
The SAMBA Dependent Children Health Benefit Plan (DHBP) is designed to provide health coverage
for your child age 22 to 27, at very affordable rates.
The benefits under the Dependent Children Health Benefit Plan are the same as offered to you under the federal SAMBA Standard Option Health
Benefit Plan.
Eligibility Requirements
You must be enrolled in the federal SAMBA Health Benefit Plan to enroll your child in the SAMBA Dependent Children Health Benefit Plan, and your child must be:
- age 22 to 27
- Unmarried
- Wholly dependent on you for support and maintenance (explain)
When You Can Enroll Your Child
You may enroll an eligible child during one of the following events:
- Immediately following the child's loss of coverage due to attainment of age 22 under the SAMBA Health Benefit Plan;*
- Upon your enrollment under the SAMBA Health Benefit Plan, provided SAMBA receives the application within 60 days of your enrollment;
- Immediately following a child's loss of other health insurance coverage
(proof of prior coverage is required), provided SAMBA receives the application within 60 days of the child's loss of other health insurance coverage; or
- During the Plan's Open Season period which coincides with the FEHB
Program's Open Season (generally held mid-November through mid-December); see the OPM website at www.opm.gov/insure for exact dates.
* Note: If the enrollment form is received by SAMBA within 15 days of the child's 22nd birthday, there will be no lapse in coverage. If the enrollment form is received within 60 days of the child's 22nd birthday, the effective date of coverage will be the first day of the following pay period or the first day of the following month, depending on your method of payment. There would be a lapse in coverage in that case.
Dependent Children Health Benefit Plan Rates

SAMBA invites you to compare the benefits and premiums available through the FEHBP Temporary Continuation of Coverage (TCC) to SAMBA's non-FEHB
Dependent Children Health Benefit Plan. We are sure you will agree this is the best value.
NOTE: Coverage under the Federal Employees Health Benefits Program (FEBHP)
for a dependent child generally terminates when a child reaches age 22.
Dental and Vision Care Program
If you are enrolled in SAMBA's Dental and Vision Care Program, you can enroll your child
between the ages of 22 up through age 26 in the Dental and Vision Care Program.
Your child does not have to be enrolled in the Dependent Children Health Benefit Plan
to join the Dental and Vision Care Program, and you can enroll your child at any time. Please note that your child must have the same dental plan option (DMO or Alternate Dental) as you.

Click here to download the Dependent Children Dental & Vision Enrollment Kit.
Click here to learn more about the Dental and Vision Care Plan.
For more information about continuing coverage of your dependent child age 22 up through
age 26 under the DHBP or the Dental and Vision Care Plan, call SAMBA
at 1-800-638-6589 between the hours of 8:00 a.m. and 4:00 p.m. EST, Monday through Friday.
|