Eligible Dependents a. Employee’s Legal Spouse
Eligible Dependents. A Member’s eligible Dependents are their lawful spouse and Dependent children. An eligible dependent shall include a) any child born out of wedlock, b) a child not claimed as a dependent on the parents’ federal income tax return and c) a child who does not reside with the parent or within the Plan’s service area. All newborn infants’ Coverage shall commence from and after the moment of birth. Adopted children and stepchildren shall be covered from and after the date of placement. Except as stated above, Dependents shall be eligible for coverage on the first day of the next month from the date the Subscriber is eligible for coverage, or on the day the Subscriber acquires such Dependent, whichever is later. In a case where a parent is eligible for the coverage, the Plan shall a) permit the parent to enroll under the Plan any child who is otherwise eligible to enroll for that coverage, without regard to any enrollment period restrictions, b) enroll the child, if parent fails to do so, upon presentation of the court order or request by the district attorney, the other parent or person having custody. California has legalized registered domestic partnerships for same-sex and opposite-sex couples. In order for two individuals to be considered domestic partners in California, they must be in an intimate, committed relationship and file a Declaration of Domestic Partnership with the California Secretary of State. When the declaration is filed, the following requirements must also be fulfilled: • Each individual is at least 18 years of age, unless consent is given from the minor’s parent or guardian; • Neither individual is related by blood in any way that would prevent marriage in the state; • Neither individual is married, or in another domestic partnership with another individual; • Both individuals are of the same sex or, if the individuals are of the opposite-sex, at least one person is over 62 years of age; and • Both individuals are capable of consenting to a domestic partnership. Dependents shall also include all children under the age of 26 years. Coverage shall not terminate at age 26 while a Dependent child is and continues to be: • Incapable of self-sustaining employment by reason of mental retardation or physical handicap; and • Chiefly dependent upon the subscriber for support and maintenance provided the subscriber furnishes proof of such incapacity and dependency to CDN within 31 days of the child attaining the limiting age set forth above, and ever...
Eligible Dependents. For this plan, a Member’s eligible Dependents are their Dependent children. An eligible dependent shall include a) any child born out of wedlock, b) a child not claimed as a dependent on the parents’ federal income tax return and c) a child who does not reside with the parent or within the Plan’s service area. All newborn infants’ Coverage shall commence from and after the moment of birth. Adopted children and stepchildren shall be covered from and after the date of placement. Except as stated above, Dependents shall be eligible for coverage on the first day of the next month from the date the Subscriber is eligible for coverage, or on the day the Subscriber acquires such Dependent, whichever is later. Dependents shall also include all children up to age 19 who are chiefly dependent on the subscriber for support and maintenance. Coverage shall not terminate while a Dependent child is and continues to be: • Incapable of self-sustaining employment by reason of mental retardation or physical handicap; and • Chiefly dependent upon the subscriber for support and maintenance provided the subscriber furnishes proof of such incapacity and dependency to CDN within 31 days of the child attaining the limiting age set forth above, and every two years thereafter, if requested by CDN. • In a case where a parent is required by a court or administrative order to provide coverage for a child the Plan shall not disenroll or eliminate coverage unless a) the employer has eliminated coverage for all employees, b) the Plan is provided with satisfactory written evidence that either the court order or administrative order is no longer in effect, or c) the child is or will be enrolled in another or comparable plan that will take effect no later than the effective date of the child’s disenrollment.
Eligible Dependents. An eligible Dependent is an individual who has been listed by the Subscriber on the Marketplace Application and has been determined by the Marketplace to be eligible to purchase a QHP as a dependent on the Subscriber’s Agreement, except that a Subscriber who is under the age of 21 as of January 1st of the Agreement Year shall not be entitled to enroll any other individual as a dependent on such Agreement.
Eligible Dependents. An eligible unit member’s spouse or domestic partner (subject to the eligibility provisions in each summary plan document) or child up to the age of 26.
Eligible Dependents i. Legal spouse.
Eligible Dependents. The definition of children who are considered eligible dependents under the medical, dental and vision plans is restricted to include: natural children, stepchildren, legally adopted children (including children placed with you for adoption), your grandchildren who live with you and are primarily dependent on you. Opting Out of AmPlan Medical Plan Opt-out provisions are expanded to include situations in addition to the employee’s spouse working for Amtrak. Anytime during 2008, and during annual open enrollment periods, employees have the option to opt-out of medical care coverage for themselves and their dependents provided they certify that they have health care coverage under another group health plan or health insurance policy that includes medical, prescription drug, and mental health/substance abuse benefits. In the case of an employee whose spouse is also an Amtrak employee covered by XxXxxx, one of them may opt-out and would thereafter be covered as a dependent of the other. Employees who opt-out will not be obligated to pay monthly cost-sharing contributions. Employees who opt-out will continue to have on-duty injury medical coverage, dental, vision, and supplemental sickness coverage, as well as life and AD&D insurance and off-track vehicle insurance. Please note that your opt-out will become effective the month following the month in which you advise Amtrak of your desire to opt out. An employee who opts-out will be able to revoke that election if the employee subsequently loses eligibility under, or there is a termination of employer contributions toward, the other coverage that allowed the employee to make the opt-out election, or if COBRA was the source of such other coverage, that COBRA coverage is exhausted.
Eligible Dependents. For purposes of this Agreement, an Eligible Dependent shall mean the Executive's spouse and any other dependent of the Executive who would be eligible for coverage under any health insurance plan maintained by the Company from time to time for its senior executives if the Executive were then employed by the Company in a senior executive position.
Eligible Dependents. An eligible Dependent is an individual who is listed on the Enrollment Application completed by the Subscriber and has been accepted for coverage by the HMO; who resides in the Keystone Approved Service Area, unless otherwise provided in this section; and who is:
Eligible Dependents. Eligible Dependents are defined in the master policy and include your Spouse (common-law Spouse after one year of co-habitation) and your unmarried children under age 21 (up to age 25 if attending school on a full-time basis). The Spouse of a deceased member will receive free coverage for twelve (12) months following the death of the member. EXTENDED HEALTH CARE PLAN Deductibles: The annual deductible is $25 for singles and $50 for families. Extended Health Lifetime Maximum: The lifetime maximum for Extended Health Care coverage is $100,000 per covered person. HOSPITAL: THERE IS NO SEMI-PRIVATE HOSPITAL COVERAGE IN CANADA. Prescription Drug Plan: Ingredient costs for eligible drugs are covered at 100%. Drug coverage includes prescription drugs, diabetic supplies, and life sustaining pharmaceuticals. The dispensing fee cost for an eligible drug prescription is reimbursed to a maximum of $8.00 per prescription. A maximum of one dispensing fee is payable every 90 days for maintenance medications. When a Generic Equivalent is available, the Plan will only cover the cost of the Generic equivalent. Members may still obtain the Brand version of a Drug, but the Plan will only reimburse based on the cost of the Generic Equivalent if there is one available (even when a doctor requests no substitutes). Pharmacy Listing – You have the choice of purchasing your drugs anywhere. However, in order to assist you in choosing a lower cost pharmacy, a list of pharmacies and their current dispensing fees is available. Simply go to xxx.xxxxxxxxxxxxx.xxx, then click on Claims and, under the Managed Health Care heading, choose the hyperlink to either the list of pharmacies in Ontario or your province, then scroll down until you find your city, and you will find the names and addresses of the pharmacies in your city along with their dispensing fees. This list is updated on a quarterly basis and is also available by contacting the Plan Administrator’s Contact Centre. There is an annual maximum for drug claim reimbursement of $5,000 per covered person. The following items are subject to a lifetime maximum of $20,000 per covered person: • Vision Care: Vision care coverage is at 100%. Covered charges include those for eligible contact lenses, eyeglasses lenses, and eyeglasses frames. Charges for sunglasses or safety glasses of any kind are excluded. The maximum amount payable for contacts and eyeglasses is $300 in any 12-month period for persons under age 18, or $300 in any 24- month ...
