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https://www.opm.gov/healthcare-insurance/healthcare/reference-materials/reference/family-members/
A child age 26 or over who is incapable of self-support because of a mental or physical disability that existed before age 26 is also an eligible family member. In determining whether the child is a covered family member, your employing office will look at the child's relationship to you as the enrollee.
https://www.law.cornell.edu/cfr/text/5/870.803
§ 870.803 Child incapable of self-support. (a) When it receives a claim for Option C benefits because of the death of a child age 22 or older, OFEGLI determines, based on whatever evidence it considers necessary, whether the deceased child was incapable of self-support because of a mental or physical disability which existed before the child reached age 22.
https://answers.nssc.nasa.gov/app/answers/detail/a_id/6548/~/nasa-benefits---child-incapable-of-self-support
Aug 06, 2013 · Your child is incapable of self-support when: He/she is certified by a state or federal rehabilitation agency as unemployable; He/she is receiving: (a) benefits from Social Security as a disabled child; A medical certificate documents that: (a) your child is …
https://www.dcpas.osd.mil/Content/documents/Events/DBS/BW07_FEHBChildIncapable_SelfSupport.pdf
Child Incapable of Self-Support (15) A DEPENDENT CHILD MAY BE CONSIDERED INCAPABLE OF SELF-SUPPORT IF: The child’s physical or mental disability is expected to last at least 1 year AND Due to the disability, is not capable of working at a self-supporting job
https://about.usps.com/manuals/elm/html/elmc5_016.htm
A child incapable of self–support because of mental or physical disability that existed before age 22 must be dependent upon the employee to qualify for health benefits coverage.
https://www.law.cornell.edu/cfr/text/38/3.356
Rating determinations will be made solely on the basis of whether the child is permanently incapable of self-support through his own efforts by reason of physical or mental defects. The question of permanent incapacity for self-support is one of fact for determination by the rating agency on competent evidence of record in the individual case.
https://www.hqmc.marines.mil/Portals/143/Docs/DON_CBC_12890-6.pdf
Program (FEDVIP) enrollments may include a child incapable of self -support because of physical or mental incapacity which existed before age 22. • Title 5 CFR 890.302(d) requires that the enrollee submit a physician’s certificate verifying the child’s disability.
https://www.benefeds.com/ABO/documents/BENFED-002_FEDVIP_Certifying_Dependent_Children_Over_Age_22.pdf
primary enrollee calls stating the child is incapable of self -support, the enrollee will have an opportunity to add their child back onto their FEDVIP plan(s) if they are within 60 days from the day the child turned age 22.
http://www.benefits.va.gov/WARMS/docs/admin21/m21_1/mr/part3/subptiii/ch07/ch07.doc
Disability Pension A child permanently incapable of self-support is a dependent in protected pension cases when determining a veteran’s statutory income limitation. In current law cases, such a child is a dependent for the purpose of determining monthly payments.
https://www.opm.gov/retirement-services/publications-forms/benefits-administration-letters/2011/11-203.pdf
Children incapable of self support who lost coverage because of marriage may resume coverage under their parent’s enrollment. If the child’s previous determination has expired, the agency must again determine if the child is incapable of self-support due to a condition that began before age 26.
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