Common use of Who Is an Eligible Person Clause in Contracts

Who Is an Eligible Person. You: You are eligible to enroll in coverage under this agreement provided that you: • meet the minimum work-hour requirements; and • have satisfied the waiting period, if any, of your employer. The date on which you have met your employer’s/agent’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility date. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time: • Your legal, according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official. • Your common law spouse, according to the law of the state in which your marriage was formed. Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the required documentation. Please call us to obtain the Affidavit of Common Law Marriage. • Your civil union partner, according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside. • Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of: i. the date either you or your former spouse are remarried; ii. the date provided by the judgment for divorce; or iii. the date your former spouse has comparable coverage available through his or her own employment. • Domestic Partner: i. your lawful registered domestic partner, according to the laws of the state in which you entered into a registered domestic partnership; or ii. your domestic partner (regardless of whether you have obtained registration). To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive required documentation. Please call our Customer Service Department to obtain the Declaration of Domestic Partnership form.

Who Is an Eligible Person. You: You are eligible to enroll in coverage under this agreement provided that you: • meet the minimum work-hour requirements; and • have satisfied the waiting period, if any, of your employer. The date on which you have met your employer’s/agent’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility dateif:  you reside in Rhode Island; and  you are not enrolled in coverage under Medicare which includes dental coverage. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time: •  Your legallegal spouse, according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official. •  Your common law spouse, according to the law of the state in which your marriage was formed. Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the required documentation. Please call us to obtain the Affidavit of Common Law Marriage. •  Your civil union partner, according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside. •  Domestic Partner: o your lawful registered domestic partner, according to the laws of the state in which you entered into a registered domestic partnership; or o your domestic partner, who is of the same sex, (regardless of whether you have obtained registration). o To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive the required documentation. Please call our Customer Service Department to obtain the Declaration of Domestic Partnership form.  Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of: i. : o the date either you or your former spouse are remarried; ii. ; o the date provided by the judgment for divorce; or iii. or o the date your former spouse has comparable coverage available through his or her own employment. • Domestic Partner: i. your lawful registered domestic partner, according to the laws of the state in which you entered into a registered domestic partnership; or ii. your domestic partner (regardless of whether you have obtained registration). To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive required documentation. Please call our Customer Service Department to obtain the Declaration of Domestic Partnership form.

Who Is an Eligible Person. You: You are eligible to enroll in coverage under this agreement provided that you: • meet the minimum work-hour requirements; and • have satisfied the waiting period, if any, of your employer/agent. The date on which you have met your employer’s/agent’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility date. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time: • Your legalopposite sex spouse, according to the laws statutes of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official. • Your common law spouse, according to the law of the state in which your marriage was formedformed (generally, common law spouses are of the opposite-sex). Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the required documentationnecessary proof. Please call us to obtain the Affidavit of Common Law Marriage. • Your same-sex spouse, according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official. Your same-sex spouse may be enrolled only if your marriage is recognized by the state in which you reside. • Your civil union partner, according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside. • Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of: i. the date either you or your former spouse are remarried; ii. the date provided by the judgment for divorce; or iii. the date your former spouse has comparable coverage available through his or her own employment. • Domestic Partner: i. : Provided your lawful registered employer/agent authorizes the eligibility of domestic partnerpartners, according to the laws of the state in which you entered into a registered domestic partnership; or ii. your domestic partner (regardless of whether you have obtained registration)is eligible to enroll for coverage under this agreement. To be eligible, you You and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive required documentationnecessary proof. Please call our Customer Service Department to obtain the Declaration of Domestic Partnership formcontact your employer/agent for additional information regarding coverage for domestic partners.

Who Is an Eligible Person. You: You are eligible to enroll in coverage under this agreement provided that you: •  meet the minimum work-hour requirements; and •  have satisfied the waiting period, if any, of your employer. The date on which you have met your employer’s/agentemployer’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility date. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time: •  Your legal, according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official. •  Your common law spouse, according to the law of the state in which your marriage was formed. Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the required documentation. Please call us to obtain the Affidavit of Common Law Marriage. •  Your civil union partner, according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside. •  Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of: i. the date either you or your former spouse are remarried; ii. the date provided by the judgment for divorce; or iii. the date your former spouse has comparable coverage available through his or her own employment. •  Domestic Partner: i. your lawful registered domestic partner, according to the laws of the state in which you entered into a registered domestic partnership; or ii. your domestic partner (regardless of whether you have obtained registration). To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive required documentation. Please call our Customer Service Department to obtain the Declaration of Domestic Partnership form.

Who Is an Eligible Person. You: You are eligible to enroll in coverage under this agreement provided that you: • meet the minimum work-hour requirements; and • have satisfied the waiting period, if any, of your employer. The date on which you have met your employer’s/agentemployer’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility date. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time: • Your legal, legal spouse: according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official. • Your common law spouse, : according to the law of the state in which your marriage was formed. Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the required documentation. Please call us to obtain the Affidavit of Common Law Marriage. • Your civil union partner, : according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside. • Domestic Partner: o your lawful registered domestic partner, according to the laws of the state in which you entered into a registered domestic partnership; or o your domestic partner [who is of the same sex] (regardless of whether you have obtained registration). To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive required documentation. Please call our Customer Service Department to obtain the Declaration of Domestic Partnership form. • Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of: i. : • the date either you or your former spouse are remarried; ii. ; • the date provided by the judgment for divorce; or iii. or • the date your former spouse has comparable coverage available through his or her own employment. • Domestic Partner: i. your lawful registered domestic partner, according to the laws of the state in which you entered into a registered domestic partnership; or ii. your domestic partner (regardless of whether you have obtained registration). To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive required documentation. Please call our Customer Service Department to obtain the Declaration of Domestic Partnership form.

Who Is an Eligible Person. You: You are eligible to enroll in coverage under this agreement provided that you: •  meet the minimum work-hour requirements; and •  have satisfied the waiting period, if any, of your employer. The date on which you have met your employer’s/agent’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility date. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time: •  Your legal, according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official. •  Your common law spouse, according to the law of the state in which your marriage was formed. Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the required documentation. Please call us to obtain the Affidavit of Common Law Marriage. •  Your civil union partner, according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside. •  Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of: i. the date either you or your former spouse are remarried; ii. the date provided by the judgment for divorce; or iii. the date your former spouse has comparable coverage available through his or her own employment. •  Domestic Partner: i. your lawful registered domestic partner, according to the laws of the state in which you entered into a registered domestic partnership; or ii. your domestic partner (regardless of whether you have obtained registration). To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive required documentation. Please call our Customer Service Department to obtain the Declaration of Domestic Partnership form.

Who Is an Eligible Person. You: You are eligible to enroll in coverage under this agreement provided that you: •  meet the minimum work-hour requirements; and •  have satisfied the waiting period, if any, of your employer. The date on which you have met your employer’s/agentemployer’s eligibility requirements and are entitled to apply for coverage under this agreement is your eligibility date. Your Spouse: Your spouse is eligible to enroll for coverage under this agreement if you have selected family coverage. Only one of the following individuals may be enrolled at a given time: •  Your legal, according to the laws of the state in which you were married, when your marriage was formed by obtaining a marriage license, having a marriage ceremony, and registering the marriage with the appropriate state or local official. •  Your common law spouse, according to the law of the state in which your marriage was formed. Your spouse by common law of the opposite gender is eligible to enroll for coverage under this agreement. To be eligible, you and your common law spouse must complete and sign our Affidavit of Common Law Marriage and send us the required documentation. Please call us to obtain the Affidavit of Common Law Marriage. •  Your civil union partner, according to the law of the state in which you entered into a civil union. Civil Union partners may be enrolled only if civil unions are recognized by the state in which you reside. •  Former Spouse: In the event of a divorce, your former spouse will continue to be eligible for coverage provided that your divorce decree requires you to maintain continuing coverage under a family policy in accordance with state law. In that case, your former spouse will remain eligible on your policy until the earlier of: i. the date either you or your former spouse are remarried; ii. the date provided by the judgment for divorce; or iii. the date your former spouse has comparable coverage available through his or her own employment. •  Domestic Partner: i. your lawful registered domestic partner, according to the laws of the state in which you entered into a registered domestic partnership; or ii. your domestic partner (regardless of whether you have obtained registration). To be eligible, you and your domestic partner must complete and sign our Declaration of Domestic Partnership and we must receive required the necessary documentation. Please call our Customer Service Department to obtain the Declaration of Domestic Partnership form.