Common use of Eligibility of Dependent Children Clause in Contracts

Eligibility of Dependent Children. The Subscriber may enroll a Qualified Individual who is an eligible Dependent Child. A Qualified Individual who is the child of Domestic Partner is eligible for coverage as any other Dependent Child, if the Domestic Partner and the child of the Domestic Partner meet the qualifications for coverage. A Dependent Child means a Qualified Individual who: A. Is: 1. The natural child, stepchild, or adopted child of the Subscriber; 2. A child placed with the Subscriber, the Subscriber’s Spouse or the Subscriber’s eligible Domestic Partner for legal Adoption; SAMPLE 3. An individual under testamentary or court appointed guardianship, other than temporary guardianship for less than twelve (12) months’ duration, of the Subscriber, the Subscriber’s Spouse, or the Subscriber’s eligible Domestic Partner; or 4. An unmarried grandchild, niece or nephew, who meets the requirements for coverage as the Subscriber’s Primary Care Dependent as stated below: a) The child must be the Subscriber’s unmarried grandchild, niece, or nephew; b) The child is under the Subscriber’s Primary Care. Primary Care means the Subscriber provides food, clothing and shelter for the child on a regular and continuous basis during the time District of Columbia public schools are in regular session; and, c) If the child’s legal guardian is someone other than the Subscriber, the child’s legal guardian is not covered under any other health insurance policy. The Subscriber must provide CareFirst with proof upon application that the child meets the requirements for coverage as a Primary Care Dependent, including proof of the child’s relationship and primary dependency on the Subscriber and certification that the child’s legal guardian does not have other coverage. CareFirst reserves the right to verify whether the child is and continues to qualify as a Primary Care Dependent. 5. A child who becomes a Dependent of the Subscriber through a child support order or other court order. B. Is under the Limiting Age of twenty-six (26); or C. Is a Qualified Individual who is the subject of a Medical Child Support Order that creates or recognizes the right of the child to receive benefits under the health insurance coverage of the Subscriber, the Subscriber’s covered Spouse or the Subscriber’s covered Domestic Partner. D. A child whose relationship to the Subscriber is not listed above, including, but not limited to xxxxxx children or children whose only relationship is one of legal guardianship (except as provided above), is not eligible to enroll even though the child may live with the Subscriber and be dependent upon the Subscriber for support. E. Premium changes resulting from the enrollment of a Dependent Child will be effective as of the Effective Date of the Dependent Child’s enrollment.

Eligibility of Dependent Children. The Subscriber may enroll a Qualified Individual who is an eligible Dependent Child. A Qualified Individual who is the child of Domestic Partner is eligible for coverage as any other Dependent Child, if the Domestic Partner and the child of the Domestic Partner meet the qualifications for coverage. A Dependent Child means a Qualified Individual who: A. Is: 1. The natural child, stepchild, or adopted child of the Subscriber; 2. A child placed with the Subscriber, the Subscriber’s Spouse or the Subscriber’s eligible Domestic Partner for legal Adoption; SAMPLE 3. An individual under testamentary or court appointed guardianship, other than temporary guardianship for less than twelve (12) months’ duration, of the Subscriber, the Subscriber’s Spouse, or the Subscriber’s eligible Domestic Partner; or 4. An unmarried grandchild, niece or nephew, who meets the requirements for coverage as the Subscriber’s Primary Care Dependent as stated below: a) The child must be the Subscriber’s unmarried grandchild, niece, or nephew; b) The child is under the Subscriber’s Primary Care. Primary Care means the Subscriber provides food, clothing and shelter for the child on a regular and continuous basis during the time District of Columbia public schools are in regular session; and, c) If the child’s legal guardian is someone other than the Subscriber, the child’s legal guardian is not covered under any other health insurance policy. The Subscriber must provide CareFirst with proof upon application that the child meets the requirements for coverage as a Primary Care Dependent, including proof of the child’s relationship and primary dependency on the Subscriber and certification that the child’s legal guardian does not have other coverage. CareFirst reserves the right to verify whether the child is and continues to qualify as a Primary Care Dependent. 5. A child who becomes a Dependent of the Subscriber through a child support order or other court order. B. Is under the Limiting Age of twenty-six (26); or C. Is a Qualified Individual who is the subject of a Medical Child Support Order that creates or recognizes the right of the child to receive benefits under the health insurance coverage of the Subscriber, the Subscriber’s covered Spouse or the Subscriber’s covered Domestic Partner. D. A X. X child whose relationship to the Subscriber is not listed above, including, but not limited to xxxxxx children or children whose only relationship is one of legal guardianship (except as provided above), is not eligible to enroll even though the child may live with the Subscriber and be dependent upon the Subscriber for support. E. Premium changes resulting from the enrollment of a Dependent Child will be effective as of the Effective Date of the Dependent Child’s enrollment.