Reso 98-109 - Laserfiche WebLink

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Ronda Municipal Insurance Trust Medical Master Plan of Beneflts in the United States and its territories. A child is a dependent if the child meets the following conditions: (1) the child is a natural child, stepchild, legally adopted child, or a child who has been placed under the legal court-ordered guardianship of the participant, and (2) the child is in the custody of and financially dependent upon the participant. (This is waived if the participant is required to provide coverage to the child due to court order or divorce decree.) A newborn child of a participant having dependent coverage is entitled to the same benefits as the participant; provided, however, a dependent child shall not be entitled to maternity benefits under this Plan. A newborn child of a dependent child covered under the Plan shall terminate 18 months after the birth of the newborn child. A dependent child shall cease to be a participant at the end of the calendar year in which such child reaches age 19. However, if such child is in full-time attendance at an accredited school, college, or university and is dependent upon the participant for support, coverage will continue until the end of the calendar year in which the child reaches age 25, or upon the marriage of such child, whichever event shall first occur. Full-time attendance means that the student is enrolled for the number of hours which is considered to be a full-time attendance by the institution the student is attending. Satisfactory proof of such attendance shall be furnished to the Trust upon request. A dependent child, regardless of age, shall continue to be covered under this Plan while the child is and continues to be: (1) incapable of self-sustaining employment by reason of mental retardation or physical handicap; and (2) chiefly dependent upon the employee for support and maintenance; provided such condition occurred while such dependent was covered under this Plan. Satisfactory proof of such continuing incapacity and dependency must be furnished to the Trust. (3) The burden is on the participant to establish such dependent meets or continues to meet the criteria specified in (1) and (2). Durable Medical Equipment means medical equipment designated for repeated use and which is medically necessary to improve the functioning of a malformed body member, or to prevent further deterioration of the patient's medical condition. EmDloyee means an officer or employee of the employer or any class or classes of such employees, regularly working thirty (30)** or more hours a week, who is eligible for coverage hereunder ~ who has been so designated by the employer and who holds a valid Social Security Number. This definition shall include elected officials of the employer and employees who have retired and are receiving retirement benefits pursuant to a retirement plan lawfully established and maintained qy the employer. Emplover means each and every county, municipality, school board, special taxing district or local governmental unit established within, and pursuant to the laws of, the State of Florida and which becomes a party to this Trust by executing a -=