Revised July 31, 2009
College Insurance Program
ADULT CHILD INFORMATION PACKET
• Sponsored Adult Child
• Veteran Adult Child
• Student Medical Leave of Absence
This packet contains information regarding adult child enrollment, eligibility
and documentation requirements, as well as coverage and cost information
and an enrollment form.
Members who have an adult child who meets the eligibility requirements and
wish to add them to their College Insurance Program (CIP) coverage must
complete the College Insurance Program (CIP) Dependent Beneficiary Group
Insurance Form and return it to the State Universities Retirement System
(SURS) within 30 days of experiencing a qualifying change in status event.
You may request the form from a SURS insurance representative or by visiting
the SURS website at www.surs.org.
College Insurance Program
Adult Child Group Insurance Benefits
(07/31/2009)
If you have a child age 19 or older that was previously not eligible for coverage
under the College Insurance Plan (CIP) you may be able to add them to your
coverage under Public Act 95-0958.
Public Act 95-0958 provides for the extension of health, dental, vision and prescription
coverage for three new categories of dependents, referred to as 'Adult Children', who
previously may not have qualified for coverage under the College Insurance Plan. These
new categories are in addition to the current dependent categories of Student and
Handicapped.
Adult children enrolled in the College Insurance Plan are subject to the same deductibles,
family caps, etc., as any other dependent. If you are interested in enrolling an adult child
you should read the following information carefully for eligibility, enrollment and
documentation requirements.
Who is Eligible for Adult Child Coverage?
In order to qualify for adult child coverage, the adult child must be unmarried. The three
new categories and the associated requirements are:
1. Sponsored Adult Child – Adult children that do not qua