Disabled Dependent Children

Aetna Disabled Dependent Forms: 

• Aetna Disabled Child Attending Physician Statement - (Return Form to Aetna at Arroyot@aetna.com or fax to 860-907-2912)
• Aetna Request for Continuation of Coverage for Disabled Child - (Return form to Aetna at Arroyot@aetna.com or fax to 860-907-2912)

Continued Dependent Life Insurance for a Disabled Child:

• The Standard Continued Dependent Life Insurance - (Continuation of Child Life Insurance Coverage Only)

Disabled Dependent Child(ren) Over the Age of 26 Information: 

You may elect available coverage for your eligible dependents, including: 

• Your children, including natural, foster, step, legally adopted children, children proposed for adoption, and children for whom you have been appointed permanent legal guardian
• Your eligible children can be covered under a PCS medical, dental, and/or vision plan through the end of the calendar year in which they reach age 26, regardless of marital, financial, student status.

Dental & Vision Disabled Dependent Forms:

• Humana Disabled Dependent Continuation of Coverage - (Continuation of Dental Insurance Coverage only)
• Pinellas County Schools Handicapped Dependent Form - (If only enrolled in Dental Insurance and/or Vision Insurance)
• MetLife Dental Insurance Coverage and/or MetLife Hospital Indemnity Plan - (Continuation of Child Dental Insurance Coverage only)

Handicapped Dependents Information: 

There is no age limitation for an unmarried handicapped dependent child provided the following requirements are met:

• The dependent must be chiefly dependent upon the employee for support, maintenance, and be incapable of self-support due to mental or physical incapacity, either of which commenced prior to reaching a limiting age. 
• The Dependent has continuous coverage under a Pinellas County Schools group health insurance plan up until the end of the year when they turn 26. 
• The employee must submit proof of the handicapped dependent's condition and eligibility to the Risk Management and Insurance Department and the appropriate health plans(s) no later than 31 days after the end of the year in which they dependent reaches a limiting age. These forms may be submitted prior to the end of the year so there can be approval before the termination date of the plan. Some providers may require specific forms or specific information that we have not listed here.