DEPENDENT CHILDREN HEALTH BENEFIT PLAN
Continued coverage for your dependent children aged 22 to 27
Your child does not need to be a student to enroll

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 Dependent Children Health Benefit Plan are the same as offered to you under the federal SAMBA Standard Option Health Benefit Plan.

To view the 2008 benefit summary, click here.

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 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.


* 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.

2008 Premium Rates - The premium for each child covered under the Dependent Children Health Benefit Plan is $85 biweekly or $184.17 monthly. For each additional child enrolled, the premium is $40 biweekly/$86.67 monthly.

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.

Dental and Vision Care Program

If you are enrolled in SAMBA's Dental and Vision Care Plan, you can enroll your child between the ages of 22 up through age 26 in the Dental and Vision Care Plan. Your child does not have to be enrolled in the Dependent Children Health Benefit Plan to join the Dental and Vision Care Plan, and you can enroll your child at any time.


2008 Premium Rates - $21 biweekly or $45.50 monthly per child.

Click here to learn more about the Dental and Vision Care Program.

Click here to download the enrollment forms.

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.