Reso 2010-1529 - Laserfiche WebLink

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3.02.03 3.02.04 3.02.05 3.02.06 A V-CHOICE-2009 MP-5320 (10/09) ) a) The child is the natural child or stepchild of the Subscriber; a legally adopted child in the custody of the Subscriber from the time ofplacemcnt in the home (written evidence of adoption must be l'nmished to AvMed upon request); a child for whom the Subscriber has been appointed legal guardian, pursuant to a valid court order; or a newborn child ofa covered Dcpendent of the Subscriber (such coverage terminates 18 months after the birth of the newborn child); b) The child resides with the Subscriber (except for 'e' and 'g' below); c) The child is under the age of 19 (except for 'e' and 'f below, or Section 3.04 below); d) The child is principally dependent upon the Subscriber for maintenance and support and is not regularly employed by one or more employers for a total of 30 hours or more per week; ) e) The child, from age 19 through the end of the calendar year when the child turns 25, if the child meets the following requirements: I) The child is dependent upon the Subscriber for support; and 2) The child is living in the household of the Subscriber or the child is a Full-Time or Part-Time Student. See Section 2.22. f) The child is age 19 or over and is wholly dependent on the Subscriber due to mental retardation or physical handicap. See Section 3.05. g) It is the Subscriber's responsibility to notify AvMed when the child no longer meets these requirements. Termination of coverage may be retroactively applied if AvMed is not notified within 31 days. Subscriber agrees to provide supporting documentation upon request by AvMed. In the event that the enrolled Dependent child, who is a Full-Time or Part-time Student, suffers from a serious illness or injury requiring a leave of absence from school which would otherwise cause the Dependent child to lose eligibility under the plan, coverage will be extended for one year from the first day of the leave of absence or the date on which coverage under the plan would otherwise terminate, whichever occurs first. AvMed will require written certification from a treating physician stating the Dependent is suffering from a serious illness or injury and that the leave of absence is Medically Necessary. lu the cvent an eligible Dependent child does not reside with the Subscriber, coverage will be extended when the Subscriber is obligated to provide medical care by a Qualified Medical Child Support Order. You (or your beneficiaries) may obtain, without charge, copies of the Plan's procedures governing Qualified Medical Child Support Orders and a sample Qualified Medical Child Support Order by contacting the Plan Administrator. In the case of a newborn child, AvMed should be notified in writing prior to the scheduled delivery date of the Subscriber's intention to enroll the newborn child, but such notice shall not be later than 31 days after the birth. If timely notice is provided, no additional preminm will be charged for the additional coverage of the newbom during the 31-day period following the birth of the child. If timely notice is not provided, the additional premium for the additional coverage of the newborn child will be charged from the child's date of birth. If notice is not provided within 60 days of the birth, the child may not be el110lled until the next open enrollment period of the Snbscribing Group. All services applicable for covered Dependent children under this Contract shall be provided to an enrolled newborn child of the Subscriber or to the enrolled newborn child of a covered Dependent of the Subscriber or to the newborn adopted child of the Subscriber provided that ) ) 9