To be reimbursed for dental expenses, you must submit a claim form or have your dentist submit a claim form to Metropolitan Life Insurance Company. Claims must be filed within 12 months of the date of service.
You can arrange to have benefits paid directly to your dentist, or you can have Metropolitan reimburse you. To have the benefits paid to your dentist, you will need to sign the assignment section of the claim form.
If you have elected to participate in the Health Care Flexible Spending Account (FSA), your reimbursable, out-of-pocket expenses under the NYU Dental Assistance Plan, will be automatically submitted to your FSA for reimbursement.
your legally adopted child (or child placed with you for legal adoption)
a child for whom you have been appointed legal guardian by a court of competent jurisdiction
a child for whom you have been given temporary or permanent custody under an order issued by a court of competent jurisdiction
a child for whom you have been appointed legal guardian by a court of competent jurisdiction or for whom you have been given temporary or permanent custody under an order issued by a court of competent jurisdiction.
For your child to be covered, he or she must be under age 26 (coverage ends at the end of the month in which age 26 is attained).
A newborn natural child is eligible for coverage at birth.
If at any time your child isn't considered a dependent child under this plan, your child's coverage will stop. (See also, "Continuation of Coverage under COBRA".)
Generally, you can't cover your child as a dependent once your child reaches age 26. You may be able to extend coverage for your dependent child if your child was found to be physically or mentally handicapped, mentally ill, or developmentally disabled before the age of 26 and continues to be fully dependent on you for support and unmarried.
You can cover your disabled child after age 26 if the child is unmarried and fully dependent upon you for support and found to be physically or mentally handicapped, mentally ill, or developmentally disabled before the age of age 26.
Note: In order to cover your disabled child past age 26, the child's disability has to begin before the date eligibility would otherwise end and you will need to provide proof of the disability.
You can cover your spouse as a dependent under your plan, or your spouse can cover you as their dependent, or you and your spouse can elect separate employee coverage, if eligible. Neither you nor your spouse can be covered as both an employee and a dependent under the plan.