Who can I enroll?

 

To be covered on our medical, dental, or vision plans, your family member must meet the below definition of a dependent.

Spouse

Your lawful spouse, unless legally separated. (“Lawful spouse” means a legal union of two persons that was validly formed in any jurisdiction.)

Domestic Partner

Your registered domestic partner.

Child under age 26

  • A natural offspring of either you or your spouse, or both.

  • A legally adopted child of either you or your spouse, or both.

  • A child placed with you for the purpose of legal adoption in accordance with state law. "Placed" for adoption means assumption and retention by you of a legal obligation for total or partial support of a child in anticipation of adoption of such child.

  • Legally placed dependent or foster child of you or your spouse. There must be a court or other order signed by a judge or state agency, which grants guardianship of the child to you or your spouse as of a specific date. When the court order terminates or expires, the child is no longer an eligible child.

disabled child

A dependent child age 26 or older incapable of self-support due to a developmental or physical disability that occurred before age 26 may be an eligible dependent when the child is chiefly dependent upon you for support and maintenance. A Disabled Dependent Certification must be completed and submitted through the group. The group must approve the request for certification before coverage can become effective.

 
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what do you need from me?

To make sure that only eligible dependents are covered on our plans, we ask that you provide us with documentation to confirm that your family is eligible. Please provide any one of the following documents for your spouse/domestic partner and/or your child(ren):