Incapacitated Children. An Employee may have an unmarried child with a mental or physical handicap, or developmental disability, who is incapable of earning a living. Subject to all of the terms of this section and the plan, such a child may stay eligible for Dependent health benefits past this Contract's age limit for eligible Dependents. The child will stay eligible as long as the child is and remains unmarried and incapable of earning a living, if:
Incapacitated Children. An Employee may have an unmarried child with a mental or physical handicap, or developmental disability, who is incapable of earning a living. Subject to all of the terms of this section and the plan, such a child may stay eligible for Dependent health benefits past this Contract's age limit for eligible Dependents. The child will stay eligible as long as the child is and remains unmarried and incapable of earning a living, if: the child's condition started before he or she reached this Contract's age limit; the child depends on the Employee for most of his or her support and maintenance; and the child became covered by this Contract or any other policy or contract before the child reached the age limit and stayed continuously covered after reaching such limit. But, for the child to stay eligible, the Employee must send Us written proof that the child is handicapped or developmentally disabled and depends on the Employee for most of his or her support and maintenance. The Employee has 31 days from the date the child reaches the age limit to do this. We can ask for periodic proof that the child's condition continues. But, after two years, We cannot ask for this more than once a year. The child's coverage ends when the Employee's coverage does.
Incapacitated Children. The benefits of the Medical, Vision Care, Prescription Drug and Dental Plans can be continued for unmarried children who are incapable of earning their own living because of developmental disability or physical handicap and are chiefly dependent on the employee for support on the date such children cease to be eligible for the Medical, Vision Care, Prescription Drug and Dental Plans due to attainment of age 25. Coverage for such children can be continued for the duration of the incapacity provided coverage does not terminate for any other reason. Proof of incapacity must be furnished by the employee to the insurance carrier within 31 days after such children attain the limiting age (age 25) and must be furnished thereafter as required.
