Common use of Dependent Eligibility Clause in Contracts

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.

Appears in 2 contracts

Samples: Plan Agreement, Plan Agreement

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Dependent Eligibility. If dependent coverage is available under Under the Plan, a Subscriber is eligible for dependent coverage on the later terms of the date he/she becomes Affordable Care Act, eligible children may be covered up to age 26. If the ACA is changed or repealed, the coverage of children will revert to the ages specified in the following provisions. The following types of dependents are 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 under your enrollment: - Your spouse (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 legally separated 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. under the Program but a former spouse is not); - Your unmarried children under 19 years of age; - Your unmarried children 19 years of age or older but under 25 who receive more than half of their support from you and who are full-time students at a secondary or preparatory school or college or other accredited educational institution. Time spent in military service, not to exceed four (CT4) years, may be deducted from the dependent's age for the purpose of the last day of the month in which such establishing eligibility for coverage. A dependent child attains whose 19th birthday occurs during the age of twenty-six (26). An unmarried dependent child who is incapable of self-support because of a physical or mental incapacity can school vacation period will continue to be covered under the Program, provided the child is enrolled in a school and it is anticipated the child will resume full-time student status at the end of the vacation period. In the event a dependent student is disabled and is granted a medical leave by the school (s)he is attending, coverage will be continued for a maximum of twelve (12) calendar months following the month in which the child withdraws from school plus the time between the end of that period and the beginning of the next regular semester. - Your unmarried child 19 years of age or older who is incapable of self- support by reason of mental or physical disability and who became so incapable before reaching age 19. The eligibility of such a dependent should be established as early as possible. This should be done at the time of your initial enrollment if the child is age 19 when you first enroll in the Program, eligibility for continued coverage should be established at the time of the child's 19th birthday. In 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 incapacityProgram, the effective date term "child" or "children" includes: - An employee's own child or legally adopted child, regardless of the Plan Agreement, the effective date child's place of said dependent child’s coverage, residence or the date on which said dependent child’s degree of support provided; - Any stepchild of the employee who permanently resides in the employee's home; - Any child for whom the unit member has “legal guardianship”. An employee's parents are not eligible for coverage would otherwise terminate due to said dependent child attaining the maximum age even though they may qualify as dependents for dependent children coverage, whichever is laterincome tax purposes.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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 heƒshe becomes eligible for coverage or the date he/she heƒshe first acquires an eligible Dependent. Coverage for the newly-acquired 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 twenty−six (26). An unmarried dependent child who is incapable of self-support 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.

Appears in 1 contract

Samples: Plan Agreement

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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 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 twenty−six (26). An unmarried dependent child who is incapable of self-support 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.

Appears in 1 contract

Samples: Plan Agreement

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