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Dependent Eligibility

Dependents are eligible if they are one of the following:

  • Your legal spouse or a registered domestic partner;
  • Your natural child, legally adopted child, stepchild to age 26, whom you consider a dependent.
  • Unmarried dependent child aged 26 or older who is incapable of self-support because of a physical or mental disability that occurred before he or she turned 26, if the child is mostly dependent on you for support. Proof of this disability must be given to your employer within 31 days, if it is requested. Proof will not be required more than once a year after the child has reached age 27.

A child who meets the age requirements of the plan and who is in the process of being adopted is considered a legally adopted child when the carrier receives legal evidence of the intent to adopt and the child is placed in your physical custody for the purpose of adoption.

A child who meets the age requirements of the plan and for whom the subscriber is a legal Guardian is considered eligible on the date of the court decree.

Dependent coverage is also extended to any child who is recognized under a Qualified Medical Child Support Order (QMCSO).

NO dependent in the military service is eligible.

Definition of "Qualified Domestic Partners"

Requirements - Two adults in a committed relationship provided:

  • Both adults are of the same sex.
  • Both adults are of the opposite sex, with one person over age 62 and entitled to Social Security for aged individuals.
  • Share a common residence.
  • Not blood related, which would prevent a marriage in the state of California.
  • Both partners are at least 18 years of age.
  • Both partners file a Declaration of Domestic Partnership with the Secretary of State.
  • Both are capable of consenting to the domestic partnership.

Neither partner is married or a member of another domestic partnership with someone else that has not been terminated.

For additional questions, please call the Insurance Department at 951-736-5026.

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