§1110b Tricare Program: Extension of Dependent Coverage

Summary

People under age 26 who meet certain rules must be treated as dependents for TRICARE coverage. To qualify, the person would be a dependent except for an age limit, has not yet turned 26, is not able to enroll in an eligible employer-sponsored plan (as defined in section 5000A(f)(2) of the Internal Revenue Code of 1986), is not already a dependent under other parts of the law, and meets any additional rules the Secretary sets that are like the rules under section 2714(b) of the Public Health Service Act. The Secretary must set, by rule, the premium(s) for this coverage. Those premiums replace any enrollment fees required under sections 1075 or 1075a. The monthly premium will equal the cost of the coverage as determined on an appropriate actuarial basis. The Secretary will also set how premiums are paid. Money collected goes to the Defense Health Program Account appropriation under section 1100, is merged with that year’s funds, and is available under subsection (b) of that section for the fiscal year.