Common use of Disabled Dependent Clause in Contracts

Disabled Dependent. The Contract covers disabled dependents. A disabled dependent is a person who is and continues to be both: (a) incapable of self-sustaining employment by reason of developmental disability, mental Illness, or disorder, or physical disability, and (b) chiefly dependent on you for support and maintenance. Disabled dependents are not subject to any pre-existing condition limitations, or insurability, eligibility, or health underwriting approval. Emergency Medical Condition. This is a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in: Emergency Service. This means a Health Care Service necessary to treat an Emergency Medical Condition including: Enrollee. This is a person who (1) resides in the service area; (2) is eligible and accepted by us as a Member per a signed enrollment form; and (3) is responsible for payment of enrollment payments.