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b) the Plan is provided with satisfactory written evidence that either the court order or administrative order is no longer in effect, or c) the child is or will be enrolled in another or comparable plan that will take effect no later than the effective date of the child’s disenrollment.
Appears in 10 contracts
Samples: Group Subscriber Agreement, Group Subscriber Agreement, Group Subscriber Agreement
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, 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. 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.
Appears in 2 contracts
Samples: Group Subscriber Agreement, Group Subscriber Agreement
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, 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. Dependents shall also include all unmarried 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.
Appears in 1 contract
Samples: Group Subscriber Agreement