• the date the Spouse or Dependent no longer meets the definition of Spouse or Dependent Child; • the date the Covered Person is considered to reside outside the United States. The Covered Person will be considered to reside outside the United States when the Covered Person has been outside the United States for a total period of 4 months during any 4 consecutive months.
Florida residents:
1) Under the General Definitions section, item 2 of the second paragraph of the Dependent Child definition includes adopted child as follows:
2. adopted child, beginning with any waiting period pending finalization of the child’s adoption. It also means the legally adopted child of the Employee’s Spouse or domestic partner/Partner to a Civil Union provided the child is living with, and is financially dependent upon the Employee;
2) Under the Portability Provisions section, the following are removed from the Termination of Ported Insurance provision:
• for a Dependent Child, the date the Dependent Child reaches age 26 unless primarily supported by the Employee and incapable of self-sustaining employment by reason of mental or physical handicap or ceases to quality as a Dependent Child; • the date the Spouse or Dependent no longer meets the definition of Spouse or Dependent Child; • the date the Covered Person is considered to reside outside the United States. The Covered Person will be considered to reside outside the United States when the Covered Person has been outside the United States for a total period of 4 months during any 4 consecutive months.
Idaho residents:
1) A minimum benefit of $50 for Hospitalization Benefits up to 31 days will be available.
2) Under the Schedule of Benefits section, Tier 1 benefits are not available. Tier 2 benefits will always be paid.
3) Under the General Definitions section, the following changes are made:
a) The definition of Active Service does not include being unable to perform any of the activities of daily living (i.e. mobility, transferring, feeding, dressing, toileting,) without human supervision or assistance).
b) A definition of Congenital Anomaly has been added as follows:
A condition existing at or from birth that is a significant deviation from the common form or function of the body, whether caused by a hereditary or developmental defect or disease. The term significant deviation is defined to be a deviation which impairs the function of the body and includes but is not limited to the conditions of cleft lip, cleft palate, webbed fingers or toes, sixth toes or fingers, or defects of metabolism and other conditions that are medically diagnosed to be congenital anomalies.
c) The definition of Covered Accident does not include reference to an “external” event
d) The definition of Dependent Child has been modified to read as follows:
An Employee’s child who meets the following requirements: 1. A child from live birth to 26 years old; 2.
A child who is 26 or more years old, who is chiefly dependent upon the Employee for support and maintenance and incapable of self-sustaining employment by reason of intellectual disability or physical disability.
A child, for purposes of this provision, includes an Employee’s: 1. natural child; 2. adopted child, beginning on the date of the child’s birth if Placement occurs within 60 days after the child’s
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