Common use of Eligible Dependents Clause in Contracts

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 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.

Appears in 10 contracts

Samples: Group Subscriber Agreement, Group Subscriber Agreement, Group Subscriber Agreement

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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. An enrolled Dependent Child who reaches age 26 during a benefit year may remain enrolled as a dependent until the end of that benefit year. The dependent coverage shall end on the last day of the benefit year during which the Dependent child becomes ineligible. Coverage shall not terminate at age 26 while a Dependent child is and continues to bebe both: • 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.

Appears in 5 contracts

Samples: Individual Subscriber Agreement, Individual Subscriber Agreement, Individual Subscriber Agreement

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, stepchildren and xxxxxx 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 unmarried children under the age of 26 yearsyears who are chiefly dependent on the subscriber for support and maintenance. 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 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.

Appears in 2 contracts

Samples: Group Subscriber Agreement, Individual Subscriber Agreement

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, stepchildren and xxxxxx 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 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.

Appears in 1 contract

Samples: Group Subscriber Agreement

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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, stepchildren and xxxxxx 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. An enrolled Dependent Child who reaches age 26 during a benefit year may remain enrolled as a dependent until the end of that benefit year. The dependent coverage shall end on the last day of the benefit year during which the Dependent child becomes ineligible. Coverage shall not terminate at age 26 while a Dependent child is and continues to bebe both: • 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.

Appears in 1 contract

Samples: Individual Subscriber Agreement

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, stepchildren and xxxxxx 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 unmarried children under the age of 26 yearsyears who are chiefly dependent on the subscriber for support and maintenance. 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 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.

Appears in 1 contract

Samples: Individual Subscriber Agreement

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