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Eligibility - Dependents

 

Eligible dependents of employees include: 

 

  • subscriber’s spouse or partner to a civil union

  • domestic partner of a subscriber, provided that the employer elected domestic partnership coverage as part of its group plan (more information on domestic partnerships)

  • natural or adopted children of the subscriber and the natural or adopted children of his or her spouse, partner to a civil union, or eligible domestic partner, provided the children are under the age of 19 and unmarried

  • qualified over-age dependents (full-time students and incapacitated children)

  • in certain cases, a child for whom the subscriber, spouse, party to a civil union or eligible domestic partner has assumed legal guardianship, and

 

Ineligible dependents of employees include:

 

  • dependents who lose coverage, but decide to continue coverage under federal or state continuation of benefits provisions (these dependents get their own coverage)

     

  • subscribers’ parents or any other relatives besides spouses, parties to civil unions, dependent children or step-children described above

     

  • dependent children who marry, regardless of age, and

     

  • dependent children over the age of 19 who do not meet guidelines for “over-age dependents”