Common use of COVERAGE FOR YOUR DEPENDENTS Clause in Contracts

COVERAGE FOR YOUR DEPENDENTS. If you are covered by this plan, you may enroll your eligible Dependents. Your Covered Dependents are also called Members. Enrollment of dependents can be done during Open Enrollment or upon experiencing a Special Enrollment Period qualifying event. Eligibility requirements apply to dependents as well. Your Eligible Dependents Include:  Your Spouse; provided you are not legally separated. Domestic partners are not considered eligible dependents except when State or Federal law supersedes this contract.  Your Dependent children through the end of the month in which they attain age 26; o legally adopted children from the date you assume legal responsibility, o children for whom you assume legal guardianship and stepchildren. o children (or children of your spouse) for whom you have legal responsibility resulting from a valid court decree. o Children who are mentally or physically handicapped and totally dependent on you for support, regardless of age, with the exception of incapacitated children age 26 or older. To be eligible for coverage as an incapacitated Dependent, the Dependent must have been covered under this Contract prior to reaching age 26. Certification of the handicap is required within 31 days of attainment of age 26. A certification form is available from Alliant and may be required periodically but not more frequently than annually after the two year period following the child's attainment of the limiting age. Please note: For the purpose of this Contract, a spouse is the Subscriber’s legal spouse as recognized by the state in which you live. If the wrong birth date of a child is entered on an application, the child has no coverage for the period for which he or she is not legally eligible. Any overpayments made for coverage for any child under these conditions will be refunded by either you or Alliant.

COVERAGE FOR YOUR DEPENDENTS. If you are covered by this plan, you may enroll your eligible Dependents. Your Covered Dependents are also called Members. Enrollment of dependents can be done during Open Enrollment or upon experiencing a Special Enrollment Period qualifying event. Eligibility requirements apply to dependents as well. Your Eligible Dependents Include:  • Your Spouse; provided you are not legally separated. Domestic partners are not considered eligible dependents except when State or Federal law supersedes this contract.  • Your Dependent children through the end of the month in which they attain age 26; o legally adopted children from the date you assume legal responsibility, o children for whom you assume legal guardianship and stepchildren. o children (or children of your spouse) for whom you have legal responsibility resulting from a valid court decree. o Children who are mentally or physically handicapped and totally dependent on you for support, regardless of age, with the exception of incapacitated children age 26 or older. To be eligible for coverage as an incapacitated Dependent, the Dependent must have been covered under this Contract prior to reaching age 26. Certification of the handicap is required within 31 days of attainment of age 26. A certification form is available from Alliant and may be required periodically but not more frequently than annually after the two year period following the child's attainment of the limiting age. Please note: For the purpose of this Contract, a spouse is the Subscriber’s legal spouse as recognized by the state in which you live. If the wrong birth date of a child is entered on an application, the child has no coverage for the period for which he or she is not legally eligible. Any overpayments made for coverage for any child under these conditions will be refunded by either you or Alliant.

COVERAGE FOR YOUR DEPENDENTS. If you You are covered by this plan, you You may enroll your Your eligible Dependents. Your Covered Dependents are also called Members. Enrollment of dependents Dependents can be done during Open Enrollment or upon experiencing a Special Enrollment Period qualifying event. Eligibility requirements apply to dependents Dependents as well. Your Eligible Dependents IncludeYOUR ELIGIBLE DEPENDENTS MAY INCLUDE:  • Your Spouse; provided you , if You are not legally separated. Domestic partners are not considered eligible dependents Dependents except when State or Federal law supersedes this contract.  Contract; • Your Dependent children through the end of the month year in which they attain age 26; o • Your legally adopted children from the date you You assume legal responsibility, o ; • Your children for whom you You assume legal guardianship and stepchildren. o ; • Your children (or children of your spouse) for whom you You have legal responsibility resulting from a valid court decree. o Children ; • Your children who are mentally or physically handicapped and totally dependent on you You for support, regardless of age, with the exception of incapacitated children age 26 or older. o To be eligible for coverage as an incapacitated Incapacitated Dependent, the Dependent must have been covered under this Contract contract prior to reaching age 26. Certification of the handicap is required within 31 days of attainment of age 26. A certification form is available from Alliant and of the handicap may be required periodically but not more frequently than annually after the two year period following the child's attainment of the limiting ageannually. Please note: For the purpose of this Contract, a spouse is the Subscriber’s legal spouse as recognized by the state in which you livethe Subscriber lives. If the wrong date of birth date of a child is entered on an application, the child has no coverage for the period for which he or she is not legally eligible. Any overpayments made for coverage for any child under these conditions will be refunded by either you You or Alliant.

COVERAGE FOR YOUR DEPENDENTS. If you are covered by this plan, you may enroll your eligible Dependents. Your Covered Dependents are also called Members. Enrollment of dependents can be done during Open Enrollment or upon experiencing a Special Enrollment Period qualifying event. Eligibility requirements apply to dependents as well. Your Eligible Dependents Include:  Include:‌ • Your Spouse; provided you are not legally separated. Domestic partners are not considered eligible dependents except when State or Federal law supersedes this contract.  • Your Dependent children through the end of the month in which they attain age 26; o legally adopted children from the date you assume legal responsibility, o children for whom you assume legal guardianship and stepchildren. o children (or children of your spouse) for whom you have legal responsibility resulting from a valid court decree. o Children who are mentally or physically handicapped and totally dependent on you for support, regardless of age, with the exception of incapacitated children age 26 or older. To be eligible for coverage as an incapacitated Dependent, the Dependent must have been covered under this Contract prior to reaching age 26. Certification of the handicap is required within 31 days of attainment of age 26. A certification form is available from Alliant and may be required periodically but not more frequently than annually after the two year period following the child's attainment of the limiting age. Please note: For the purpose of this Contract, a spouse is the Subscriber’s legal spouse as recognized by the state in which you live. If the wrong birth date of a child is entered on an application, the child has no coverage for the period for which he or she is not legally eligible. Any overpayments made for coverage for any child under these conditions will be refunded by either you or Alliant.

COVERAGE FOR YOUR DEPENDENTS. If you You are covered by this plan, you You may enroll your Your eligible Dependents. Your Covered Dependents are also called Members. Enrollment of dependents Dependents can be done during Open Enrollment or upon experiencing a Special Enrollment Period qualifying event. Eligibility requirements apply to dependents Dependents as well. Your Eligible Dependents IncludeYOUR ELIGIBLE DEPENDENTS MAY INCLUDE:  • Your Spouse; provided you , if You are not legally separated. Domestic partners are not considered eligible dependents Dependents except when State or Federal law supersedes this contract.  Contract; • Your Dependent children through the end of the month year in which they attain age 26; o • Your legally adopted children from the date you You assume legal responsibility, o ; • Your children for whom you You assume legal guardianship and stepchildren. o ; • Your children (or children of your Your spouse) for whom you You have legal responsibility resulting from a valid court decree. o Children ; • Your children who are mentally or physically handicapped and totally dependent on you You for support, regardless of age, with the exception of incapacitated children age 26 or older. o To be eligible for coverage as an incapacitated Incapacitated Dependent, the Dependent must have been covered under this Contract prior to reaching age 26. Certification of the handicap is required within 31 days of attainment of age 26. A certification form is available from Alliant and of the handicap may be required periodically but not more frequently than annually after the two year period following the child's attainment of the limiting ageannually. Please note: For the purpose of this Contract, a spouse is the Subscriber’s legal spouse as recognized by the state in which you livethe Subscriber lives. If the wrong date of birth date of a child is entered on an application, the child has no coverage for the period for which he or she is not legally eligible. Any overpayments made for coverage for any child under these conditions will be refunded by either you You or Alliant.