Common use of Who is an Eligible Person You Clause in Contracts

Who is an Eligible Person You. You are eligible to enroll in coverage under this agreement provided that you:  meet the minimum work-hour requirements; and  have satisfied the waiting period, if any, of your employer/agent. The date on which you have met your employer’s/agent’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility date. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time:  Your opposite sex spouse, according to the statutes of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  Your common law spouse, according to the law of the state in which your marriage was formed (generally, common law spouses are of the opposite-sex). Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the necessary proof. Please call us to obtain the Affidavit of Common Law Marriage.  Your same-sex spouse, according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  Your civil union partner, according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside.  Domestic partner: Provided your employer/agent authorizes the eligibility of domestic partners, your domestic partner is eligible to enroll for coverage under this agreement. You and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive necessary proof. Please contact your employer/agent for additional information regarding coverage for domestic partners.  Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of:

Who is an Eligible Person You. You are eligible to enroll in coverage under this agreement provided that you:  meet the minimum work-hour requirements; and  have satisfied the waiting period, if any, of your employer/agent. The date on which you have met your employer’s/agent’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility dateif: • you reside in Rhode Island; and • you are not enrolled in coverage under Medicare or Medicaid that includes dental coverage. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time:  • Your opposite sex spouse, according to the statutes of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  • Your common law spouse, according to the law of the state in which your marriage was formed (generally, common law spouses are of the opposite-sex). Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the necessary proof. Please call us to obtain the Affidavit of Common Law Marriage.  • Your same-sex spouse, according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  • Your civil union partner, according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside.  • Domestic Partner: • your lawful registered domestic partner: Provided your employer/agent authorizes , according to the eligibility laws of the state in which you entered into a registered domestic partners, partnership; or • your domestic partner partner, who is eligible to enroll for coverage under this agreementof the same sex, (regardless of whether you have obtained registration). You To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive the necessary proofdocumentation. Please contact your employer/agent for additional information regarding coverage for domestic partnerscall our Customer Service Department to obtain the Declaration of Domestic Partnership form.  • Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of:

Who is an Eligible Person You. You are eligible to enroll in coverage under this agreement provided that you:  meet the minimum work-hour requirements; and  have satisfied the waiting period, if any, of your employer/agent. The date on which you have met your employer’s/agent’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility dateif:  you are less than thirty (30) years old when this agreement goes into effect; or  you have a hardship exemption from HealthSource RI; and  you are not eligible for coverage under Medicare, TRICARE, or similar federal programs;  you are not eligible for employer-sponsored group coverage or similar coverage; AND  you reside in Rhode Island. Your coverage will be terminated at the end of the plan year in which you turn 30 unless you present a hardship exemption. Contact HealthSource RI for details regarding obtaining a hardship exemption. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if he/she meets all of the requirements listed above under the sub-section entitled “You” and you have selected family coverage. Only one of the following individuals may be enrolled at a given time:  Your opposite sex spouse, : according to the statutes of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  Your common law spouse, : according to the law of the state in which your marriage was formed (generally, common law spouses are of the opposite-sex). Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the necessary proof. Please call us to obtain the Affidavit of Common Law Marriage.  Your same-sex spouse, : according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  Your civil union partner, : according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside.  Domestic Partner:  your lawful registered domestic partner: Provided your employer/agent authorizes , according to the eligibility laws of the state in which you entered into a registered domestic partners, partnership; or  your domestic partner partner, who is eligible to enroll for coverage under this agreementof the same sex, (regardless of whether you have obtained registration). You To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive the necessary proofdocumentation. Please contact your employer/agent for additional information regarding coverage for domestic partnerscall our Customer Service Department to obtain the Declaration of Domestic Partnership form.  Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of::  the date either you or your former spouse are remarried;  the date provided by the judgment for divorce; or  the date your former spouse has comparable coverage available through his or her own employment.

Who is an Eligible Person You. You are eligible to enroll in coverage under this agreement provided that you:  meet the minimum work-hour requirements; and  have satisfied the waiting period, if any, of your employer/agent. The date on which you have met your employer’s/agent’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility dateif:  you reside in Rhode Island; and  you are not enrolled in coverage under Medicare or Medicaid that includes dental coverage. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time:  Your opposite sex spouse, according to the statutes of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  Your common law spouse, according to the law of the state in which your marriage was formed (generally, common law spouses are of the opposite-sex). Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the necessary proof. Please call us to obtain the Affidavit of Common Law Marriage.  Your same-sex spouse, according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  Your civil union partner, according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside.  Domestic Partner:  your lawful registered domestic partner: Provided your employer/agent authorizes , according to the eligibility laws of the state in which you entered into a registered domestic partners, partnership; or  your domestic partner partner, who is eligible to enroll for coverage under this agreementof the same sex, (regardless of whether you have obtained registration). You To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive the necessary proofdocumentation. Please contact your employer/agent for additional information regarding coverage for domestic partnerscall our Customer Service Department to obtain the Declaration of Domestic Partnership form.  Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of:

Who is an Eligible Person You. You are eligible to enroll in coverage under this agreement provided that you:  meet the minimum work-hour requirements; and  have satisfied the waiting period, if any, of your employer/agent. The date on which you have met your employer’s/agent’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility dateif:  you reside in Rhode Island; and  you are not enrolled in coverage under Medicare or Medicaid that includes dental coverage. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time:  Your opposite sex legal spouse, according to the statutes laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  Your common law spouse, according to the law of the state in which your marriage was formed (generally, common law spouses are of the opposite-sex). Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the necessary proof. Please call us to obtain the Affidavit of Common Law Marriage.  Your same-sex spouse, according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  Your civil union partner, according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside.  Domestic Partner:  your lawful registered domestic partner: Provided your employer/agent authorizes , according to the eligibility laws of the state in which you entered into a registered domestic partners, partnership; or  your domestic partner partner, who is eligible to enroll for coverage under this agreementof the same sex, (regardless of whether you have obtained registration). You To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive the necessary proofdocumentation. Please contact your employer/agent for additional information regarding coverage for domestic partnerscall our Customer Service Department to obtain the Declaration of Domestic Partnership form.  Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of:

Who is an Eligible Person You. You are eligible to enroll in coverage under this agreement provided that you:  meet the minimum work-hour requirements; and  have satisfied the waiting period, if any, of your employer/agent. The date on which you have met your employer’s/agent’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility dateif: • you are less than thirty (30) years old when this agreement goes into effect; or • you have a hardship exemption from HealthSource RI; and • you are not eligible for coverage under Medicare, TRICARE, or similar federal programs; • you are not eligible for employer-sponsored group coverage or similar coverage; AND • you reside in Rhode Island. Your coverage will be terminated at the end of the plan year in which you turn 30 unless you present a hardship exemption. Contact HealthSource RI for details regarding obtaining a hardship exemption. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if he/she meets all of the requirements listed above under the sub-section entitled “You” and you have selected family coverage. Only one of the following individuals may be enrolled at a given time:  • Your opposite sex spouse, : according to the statutes of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  • Your common law spouse, : according to the law of the state in which your marriage was formed (generally, common law spouses are of the opposite-sex). Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the necessary proof. Please call us to obtain the Affidavit of Common Law Marriage.  • Your same-sex spouse, : according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official.  • Your civil union partner, : according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside.  • Domestic Partner: • your lawful registered domestic partner: Provided your employer/agent authorizes , according to the eligibility laws of the state in which you entered into a registered domestic partners, partnership; or • your domestic partner partner, who is eligible to enroll for coverage under this agreementof the same sex, (regardless of whether you have obtained registration). You To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive the necessary proofdocumentation. Please contact your employer/agent for additional information regarding coverage for domestic partnerscall our Customer Service Department to obtain the Declaration of Domestic Partnership form.  • Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of:: • the date either you or your former spouse are remarried; • the date provided by the judgment for divorce; or • the date your former spouse has comparable coverage available through his or her own employment.