Eligible Dependents
If you (the participant) are eligible for this
plan, the following dependents are also eligible
for this plan if they satisfy the eligibility
requirements specified below:
- A lawful spouse, unless legally separated. A lawful spouse means only a
legal union between one man and one woman, as husband and wife.
- A domestic partner meaning a partnership consisting of two people in which
the members:
- Shared jointly the same permanent residence for at least six
months immediately preceding the date of the signed affidavit (please see
below) and intend to continue to do so indefinitely.
- Have a close personal relationship with each other.
- Are not legally married to anyone.
- Are each eighteen years of age or older.
- Are not related to each other by blood in a degree of kinship closer
than would bar marriage in the State of Washington.
- Were mentally competent to contract when the domestic partnership began.
- Are each other's sole domestic partner.
- Are jointly responsible for each other's common welfare including basic
living expenses. "Basic living expenses" means the cost of basic food,
shelter and any other expenses of a member of the domestic partnership.
The partners are not required to contribute equally or jointly to the
cost of the basic living expenses if they agree that both are responsible.
A domestic partner is also subject to satisfaction of certain enrollment
and tax prepayment requirements, including an Affidavit of Domestic
Partnership and, if applicable, a Domestic Partner Coverage—Affidavit
of Dependent Status. Please contact Participant Services at the Trust
Office for the appropriate documents.
- Unmarried children who are under age 19 (or ages 19 through 23 and full-time
students) and who have the same principal place of residence as you (the participant)
and have not provided over one-half of their own support for the calendar
year. Children include:
- Natural children and legally adopted children.
- Children placed with you (the participant) for adoption before the adoption
is finalized.
- Stepchildren who live with you (the participant).
- Children of domestic partners who live with you (the participant).
- Legally placed children meaning any child who is placed with you (the
participant) by an authorized placement agency, or by judgment, decree,
or other court order specifying you have legal custody.
Paternity (for male participants) must be established for natural children
born out of wedlock. The effective date of coverage for a child born out
of wedlock is the earliest of the following:
- The date of birth, if paternity is acknowledged jointly with the consent
of the mother immediately after birth in connection with the application
for the original birth certificate.
- The date a written acknowledgment is submitted to the Department of
Vital Statistics officially acknowledging paternity to establish yourself
as the natural father on the original or a substitute birth certificate,
provided you are named as the child's father on the child's birth certificate.
- If you did not acknowledge paternity, the date of entry of a decree
or judgment issued by a court with jurisdiction finding that you are,
as a matter of law, the natural father of the child.
A child who reaches age 19 (or age 24 if a full-time student) has attained
the "limiting age." Benefits are continued beyond the limiting age for unmarried
children who are permanently and totally disabled, provided the child continues
to have the same principal place of residence as you, and does not provide
over one-half of his or her own support for the calendar year. Coverage
may continue under this plan for the duration of the disability as long
as you continue to be eligible under this plan. If coverage for a child
with a disability is needed, you must submit a copy of the most recent Report
of Confidential Social Security Benefit Information to the Trust Office
before that child reaches the appropriate limiting
age. This extension of eligibility does not include life insurance benefits.
Please see "total disability" on page 161.
If the parents are divorced, legally separated or live apart and you (the
participant) are not the custodial parent, then a child is considered to have the same principal place of residence if the child receives over onehalf of his or her support during the year from both parents combined,
and the child is in the custody of one or both parents for more than one-half of the year.
- Unmarried children under age 24 who are full-time students, and for whom
you provide over one-half of the child's support for the calendar year (exclusive
of any educational scholarships).
- A noncustodial child who is under age 19 (or ages 19 through 23 and full-time
students) who you are required to cover by virtue of a court or administrative
agency's issuance of a Qualified Medical Child Support Order (QMCSO).
If a Medical Child Support Order requires you to cover a noncustodial
child, the child's other parent, legal guardian or a state Medicaid agency
may also have the right to enroll that child as your dependent. The Medical
Child Support Order must show the name and last known address for the parent
and child, give a reasonable description of the coverage to be provided
by the plan, state the period for which the order applies and specifically
state that the child must be covered under this plan. The plan has procedures
for determining whether a Medical Child Support Order is "qualified" within
the meaning of the plan. A copy of these procedures can be obtained, without
charge, from the Trust Office. The request for enrollment must be received
within 60 days of the date of the order for a child covered under a Medical
Child Support Order. Coverage for an otherwise eligible child that is required
under the order will become effective on the date of the order if all the
eligibility requirements are met.
Please see the definitions for "children," "full-time student" and "total
disability" in "Glossary of Terms" on pages 149, 153-154 and 161.
The Board of Trustees reserves the right to
request documented proof of dependency
at any time. Whenever documented proof
of dependency or any other documentation
is requested by the Trust Office, it must be
received within 60 days of the request or
eligibility and the dependent's right to enroll
will be denied. Please see "Enrollment
Documentation" below for the appropriate
documentation.
For circumstances which will result in a
loss of eligibility for dependents, please see
"Suspension of Eligibility for Noncovered Employment"
on pages 11-12 and "Termination
of Coverage" on page 15.
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