Dependent Insurance For Your Dependents to be insured, You will have to pay the required contribution, if any, toward the cost of Dependent Insurance. Eligibility for Dependent Insurance You will become eligible for Dependent Insurance on the later of:
Dual Eligibility If both You and Your Spouse are in an Eligible Class of the Employer, You may each enroll individually or as a Dependent of the other, but not as both. Any eligible Dependent child may also be enrolled by either You or Your Spouse. If the Spouse who enrolls for Dependent coverage ceases to be eligible, notify Your Plan Administrator immediately for coverage to continue under the plan of the other Spouse.
• the day You become eligible for Yourself; or • the day You acquire Your first Dependent. Effective Date of Dependent Insurance
HCVIS-ELG0 M
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Insurance for your Dependents will become effective on the date you elect it by completing the Employer’s specified enrollment process, but no earlier than the day you become eligible for Dependent Insurance. All of your Dependents as defined will be included. Your Dependents will be insured only if You are insured. Late Entrant - Dependent You are a Late Entrant for Dependent Insurance if: • You elect that insurance more than 31 days after You initially become eligible for it; or • You again elect it after You cancel Your payroll deduction (if required). If You are a Late Entrant: • You will not be able to enroll in the plan until the next annual enrollment period, except due to a life status change event. Eligibility for Coverage for Adopted Children Any child who is adopted by You, including a child who is placed with You for adoption, will be eligible for Dependent coverage, if otherwise eligible as a Dependent, upon the date of placement with You. A child will be considered placed for adoption when You become legally obligated to support that child, totally or partially prior to that child’s adoption. If a child placed for adoption is not adopted, all vision coverage ceases when the placement ends, and will not be continued. The provisions in the Exception for Newborns provision that describe requirements for enrollment and Effective Date of insurance will also apply to an adopted child or a child placed with You for adoption. Exception for Newborns Any Dependent child born while you are insured will become insured on the date of his birth if you elect Dependent Insurance no later than 31 days after his birth. If you do not elect to insure your newborn child within such 31 days, no benefits for expenses incurred will be payable for that child.
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