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)
- Enrolled within 15 days of their 22nd birthday, during the Plan's Open Season, or when a qualifying eligibility event occurs (explain).
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.
|