Dependent Eligibility. For all programs covered in this article, eligible dependents are an employee’s lawful spouse or domestic partner (as defined by Section 297 of the California Family Code), and unmarried children (natural, step, adopted, legal guardianship, and/or xxxxxx) of the employee or domestic partner, who are qualified IRS dependents of the employee or domestic partner, up to twenty-three (23) years of age. Disabled dependents may be able to continue coverage beyond the limiting age if the disability occurred while the dependent was covered under a County-sponsored medical plan or prior to the dependent’s 19th birthday, and is certified by a licensed physician.
Dependent Eligibility. 1. A dependent claiming eligibility hereunder as a spouse must be legally married to a Qualified Employee.
Dependent Eligibility. For all programs covered in this article, eligible dependents are an employee’s lawful spouse or domestic partner (as defined by Section 297 of the California Family Code), and unmarried children (natural, step, adopted, legal guardianship, and/or xxxxxx) of the employee or domestic partner, who are qualified IRS dependents of the employee or domestic partner, up to twenty-six (26) years of age.
Dependent Eligibility. To be eligible to enroll as a Covered Dependent, an individual must be determined by AvMed, or the Marketplace if applicable, to meet the following requirements:
Dependent Eligibility. In order to be a Dependent, a Member must be:
Dependent Eligibility. Employee Only Employees and dependent children Employees, spouse and dependent children Employees, spouses, domestic partners and dependent children
Dependent Eligibility. For medical, dental, Flexible Spending Account (Medical Reimbursement) and EAP programs covered in this article, eligible dependents are an employee’s lawful spouse or domestic partner (as defined by Section 297 of the California Family Code), and children (natural, step, adopted, legal guardianship, and/or xxxxxx) of the employee or domestic partner, who are qualified IRS dependents for purposes of pre tax payment of health insurance premiums of the employee or domestic partner, up to twenty-six (26) years of age. Appropriate documentation verifying the relationship to the employee is required. The County medical plans qualify as a “grandfathered” plan under the Patient Protection and Affordable Care Act and other related legislation and regulations until December 31, 2013. Until that time, qualified dependents that are not eligible as an adult dependent defined by federal legislation may be eligible to participate in the program as a full time student. Disabled dependents are able to continue coverage beyond the limiting age if the disability occurred while the dependent was covered under a County-sponsored medical plan or prior to the dependent’s19th birthday, and is certified by a licensed physician. For life insurance programs covered in this article, eligible dependents are an employee’s lawful spouse or domestic partner (as defined by Section 297 of the California Family Code), and unmarried children (natural, step, adopted, legal guardianship, and/or xxxxxx) of the employee or domestic partner, who are qualified IRS dependents of the employee or domestic partner, up to age nineteen (19) or up to twenty-four (24) years of age if they are a full time student. Disabled dependents are able to continue coverage beyond the limiting age if the disability occurred while the dependent was covered under a County-sponsored plan or prior to the dependent’s 19th birthday, and is certified by a licensed physician.
Dependent Eligibility. If dependent coverage is available under the Plan, a Subscriber is eligible for dependent coverage on the later of the date he/she becomes eligible for coverage or the date he/she first acquires an eligible Dependent. Coverage for the newly-acquired Dependent(s) will become effective the first of the month following the date Subscriber acquired such eligible Dependent, provided the appropriate form requesting such change is received by DDPOK within thirty (30) days of Subscriber acquiring such new Dependent. A person may not be simultaneously enrolled under the Plan as both a Subscriber and as a Dependent of another Subscriber; nor may a person be enrolled in the Plan as a Dependent of more than one Subscriber. A dependent is defined as the spouse to whom the Subscriber is legally married; biological children of the Subscriber; and children of the subscriber by legal adoption or placement for adoption, guardianship, marriage (stepchildren), and xxxxxx care placement (xxxxxx child). A dependent child, as defined above, is eligible for coverage until 11:59:59 P.M. (CT) of the last day of the month in which such dependent child attains the age of twenty-six (26). An unmarried dependent child who is incapable of self-support because of a physical or mental incapacity can continue to be covered under this plan provided he or she is chiefly dependent on the Subscriber for support and a physician’s certificate is received by DDPOK within six (6) months of said incapacity, the effective date of the Plan Agreement, the effective date of said dependent child’s coverage, or the date on which said dependent child’s coverage would otherwise terminate due to said dependent child attaining the maximum age for dependent children coverage, whichever is later.
Dependent Eligibility. A Dependent claiming eligibility hereunder as a spouse must be legally married to an Eligible Employee. A Dependent claiming eligibility hereunder as a domestic partner must be personally related to an Eligible Employee by a domestic partnership as defined below. Eligible Employee agrees to notify CaliforniaChoice Benefit Administrators immediately upon termination of the marriage or domestic partnership. A Dependent child claiming eligibility hereunder must be born to, a step-child or legal xxxx of, adopted by the Eligible Employee or the Eligible Employee’s spouse or domestic partner or is a child for whom the Eligible Employee has assumed a parent-child relationship, as indicated by intentional assumption of parental status or assumption of parental duties by the Eligible Employee, as certified by the Eligible Employee at the time of enrollment of the child and annually thereafter (but not to include xxxxxx children), subject to the following condition: • Under age 26 (unless disabled, disability diagnosed prior to age 26) • This “child” profile describes herein an “eligible dependent child.” A Dependent child who exceeds the age limit for Dependent children and is disabled, that is, who is incapable of self-sustaining employment by reason of a physically or mentally disabling injury, illness, or condition diagnosed as such by competent health care professionals prior to such Dependent’s 26th birthday, and has remained continuously dependent on the Employee for at least 50% of his/her economic support since he/she became disabled, shall be eligible for coverage hereunder until such disability ceases. Proof of Dependent’s disability must be received within 60 days after CaliforniaChoice Benefit Administrators requests it. CaliforniaChoice Benefit Administrators will provide you a 90-day notice that a dependent is about to reach the age limit for dependent children and will lose coverage unless you provide written certification from a competent health care professional, within 60 days of receiving this 90-day warning notice, that the dependent meets the above conditions of being disabled. Formal proof of the required eligibility and existence of the relationship of any Dependent to the Employee may be requested at the time of enrollment, time of service authorization request or claim submission, but not more frequently than annually after the two-year period following a child’s attainment of the limiting age.
