Welfare Summary Plan Description

SECTION 3
ELIGIBILITY RULES FOR DEPENDENTS

A Dependent of an eligible Active Employee becomes eligible for Plan benefits if eligible to be covered under the Plan Level selected by the Active Employee and properly enrolled with any required documentation, on a form approved by the Plan. A Dependent of an eligible Retired Employee becomes eligible when the Retired Employee becomes eligible, or the date the Dependent is acquired, if later. Retired Participants must enroll their existing Dependents at the same time they enroll, or such Dependents are forever ineligible for Plan Benefits. Retired Participants must enroll new Dependents within 60 days of marriage or the date the Dependent is acquired, or such Dependents are forever ineligible for Plan benefits. A Spouse of a Retired Participant, however, may be enrolled within 60 days of birth or adoption of a Dependent child.

Dependents are defined as:

  1. The Spouse of an Eligible Employee or Retired Participant.
  2. Children of an Eligible Employee or Retired Participant, if they are:
    1. Genetic children under age 26, legally adopted children under age 26, and children under age 26 who have been placed in the Eligible Employee's or Retired Participant's home for adoption or foster care by that Employee or Retired Participant;
    2. Stepchildren under age 26 who are the genetic or legally adopted children of the Eligible Employee's or Retired Participant's Spouse;
    3. Grandchildren under age 26 provided the Eligible Employee or Retired Participant has permanent legal custody of the grandchild;
    4. Children who, when they turned age 26, were and continue to be incapable of earning a living because of a mental or physical handicap (provided the child was so handicapped and eligible as Dependent at the time they reached such limiting age), and are dependent upon the Eligible Employee or Retired Participant for support. Evidence of the child's dependence and incapacity must be filed with the Plan within 31 days after attaining age 26, and periodically thereafter;
    5. Children under the age of 26 who are otherwise eligible for coverage as described above, and who are required to be enrolled by a Qualified Medical Child Support Order (QMCSO).