Common use of Dependent Eligibility Clause in Contracts

Dependent Eligibility. In order to be a Dependent, a Member must be: a. The Subscriber’s legal spouse or legal domestic partner as recognized under applicable state law. b. A child, who is under age 26, of the Subscriber or the Subscriber’s spouse or domestic partner, including newborn children, biological children, adopted children or children Placed for Adoption, stepchildren, children placed in ▇▇▇▇▇▇ care, and children for whom the Subscriber or the Subscriber’s spouse/domestic partner is a legal guardian. NOTE: A Dependent who turns 26 years of age will remain covered for the remainder of the Calendar Year unless coverage terminates. The Dependent will not be renewed into the Plan for the following Calendar Year unless documentation is provided to the Marketplace and Health Options that shows the Dependent meets other requirement described below. c. An unmarried child of the Subscriber or the Subscriber’s spouse/domestic partner who, as of the date the child turns age 26 or older, is mentally or physically unable to earn his or her own living and is chiefly financially dependent on the Subscriber. d. A child who is eligible as a Dependent because of a Qualified Medical Support Order (“QMSO”) or other court or administrative order requiring medical coverage for a child of a Subscriber or spouse/domestic partner of the Subscriber. Such child will be eligible for medical coverage as stated in the QMSO or other court or administrative order. A QMSO is a judgment, decree, or order issued by a court or administrative agency that meets certain federal law requirements.

Appears in 5 contracts

Sources: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement

Dependent Eligibility. In order to be a Dependent, a Member must be: a. The Subscriber’s legal spouse or legal domestic partner as recognized under applicable state law. b. A child, who is under age 26, of the Subscriber or the Subscriber’s spouse or domestic partner, including newborn children, biological children, adopted children or children Placed for Adoption, stepchildren, children placed in ▇▇▇▇▇▇ care, and children for whom the Subscriber or the Subscriber’s spouse/domestic partner is a legal guardian. NOTE: A Dependent who turns 26 years of age will remain covered for the remainder of the Calendar Year unless coverage terminates. The Dependent will not be renewed into the Plan for the following Calendar Year unless documentation is provided to the Marketplace and Community Health Options that shows the Dependent meets other requirement described below. c. An unmarried A dependent child of the Subscriber or the Subscriber’s spouse/domestic partner who, as of the date the child dependent turns age 26 or older, is mentally physically, mentally, intellectually, or physically unable to earn his or her own living and is chiefly financially dependent on the Subscriberdevelopmentally disabled which renders a person incapable of self‐sustaining employment. d. A child who is eligible as a Dependent because of a Qualified Medical Support Order (“QMSO”) or other court or administrative order requiring medical coverage for a child of a Subscriber or spouse/domestic partner of the Subscriber. Such child will be eligible for medical coverage as stated in the QMSO or other court or administrative order. A QMSO is a judgment, decree, or order issued by a court or administrative agency that meets certain federal law requirements.

Appears in 1 contract

Sources: Member Benefit Agreement

Dependent Eligibility. In order to be a Dependent, a Member must be: a. The Subscriber’s legal spouse or legal domestic partner as recognized under applicable state law. b. A child, who is under age 26, of the Subscriber or the Subscriber’s spouse or domestic partner, including newborn children, biological children, adopted children or children Placed for Adoption, stepchildren, children placed in ▇▇▇▇▇▇ care, and children for whom the Subscriber or the Subscriber’s spouse/domestic partner is a legal guardian. NOTE: A Dependent who turns 26 years of age will remain covered for the remainder of the Calendar Year unless coverage terminates. The Dependent will not be renewed into the Plan for the following Calendar Year unless documentation is provided to the Marketplace and Health Options that shows the Dependent meets other requirement described below.. SAMPLE c. An unmarried child of the Subscriber or the Subscriber’s spouse/domestic partner who, as of the date the child turns age 26 or older, is mentally or physically unable to earn his or her own living and is chiefly financially dependent on the Subscriber. d. A child who is eligible as a Dependent because of a Qualified Medical Support Order (“QMSO”) or other court or administrative order requiring medical coverage for a child of a Subscriber or spouse/domestic partner of the Subscriber. Such child will be eligible for medical coverage as stated in the QMSO or other court or administrative order. A QMSO is a judgment, decree, or order issued by a court or administrative agency that meets certain federal law requirements.

Appears in 1 contract

Sources: Member Benefit Agreement