The SAMBA Dependent Children Health Benefit Plan (DHBP) is designed to provide health coverage
for your child age 22 through age 26, at very affordable rates.
The benefits under the DHBP are the same as offered to you under the federal SAMBA Standard Option Health Benefit Plan.
To view the benefit summary, click here.
To view the prescription drug benefit, click here.
To view the SAMBA Standard Option Health Benefit Plan brochure, click here.
Eligibility Requirements
You must be enrolled in the federal SAMBA Health Benefit Plan to enroll your child in the SAMBA DHBP, and your child must be:
- age 22 through age 26
- 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.
Premium Rates
| One Child |
$85.00 |
$184.17 |
| Each Additional Child |
$40.00 |
$86.67 |
Click here to download the enrollment forms.
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.
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