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0 <br /> Martin County Board of County Commissioners I Employee Benefit Highlights 12021 <br /> Group Insurance Eligibility <br /> 1wu ' The County's grout Insurance !tan year Is Documentation Requirements <br /> O�. January I through December 31. All dependents must have an established legal relationship to the employee to <br /> be covered under the benefit program.The types of documentation accepted <br /> are as stated in the table below. <br /> Employee Eligibility Employee with dependents enrolled in the group insurance plan are advised <br /> Employees are eligible to participate in the County's insurance plans if they that they will be required to comply with this process or may jeopardize <br /> are working a minimum of 30 hours per week.Coverage will be effective the maintaining continued coverage for such dependents. <br /> first of the month following 30 calendar days of employment.For example, <br /> if employee is hired on April 11,then the effective date of coverage will be Dependent Relationship Documentation Required <br /> June 1. <br /> •Copy of legal government issued marriage <br /> Spouse certificate,Social Security card, <br /> Separation of Employment _ _ _ <br /> If employee separates employment from the County,insurance will continue •Copy of State issued birth certificate(s)OR copy <br /> through the end of the month in which separation occurred. COBRA Dependent Child(ren)Under Age 26 of legal guardianship court documents listing <br /> continuation of coverage may be available as applicable by law. the employee as legal guardian. <br /> •AND Social Security card. <br /> Dependent Eligibility v� <br /> •Copy of State issued birth certificate(s),Social <br /> A dependent is defined as the legal spouse and/or dependent child(ren)of the Step-Child(ren)Under Age 26 Security card, <br /> participant or spouse.The term"child"includes any of the following: •AND copy of State issued marriage certificate. <br /> • A natural child • A stepchild • A legally adopted child y �� <br /> • A newborn child(up to the age of 18 months)of a covered dependent Child(ren)under Legal Guardianship, 'Copy of court documents showing legal <br /> Custody or Foster Care Under Age 26 guardianship OR legal custody OR foster care <br /> (Florida) placement. <br /> • A child for whom legal guardianship has been awarded to the - - - — _ <br /> participant or the participant's spouseChildren)Adopted or in the process •Copy of court documents of the legal adoption <br /> of Adoption Under Age 26 showing relationship to and placement in the <br /> employee's house OR Adoption Certificate. <br /> Dependent Age Requirements <br /> Medical, Dental,and Vision Coverage:A dependent child may be <br /> covered through the end of calendar year in which the child turns age 26. <br /> Disabled Dependents <br /> Coverage for a dependent child may be continued beyond age 26 if: <br /> • The dependent is physically or mentally disabled and incapable of <br /> self-sustaining employment(prior to age 26);and <br /> • Primarily dependent upon the employee for support;and <br /> • The dependent is otherwise eligible for coverage under the group <br /> medical plan;and <br /> • The dependent has been continuously insured. <br /> Proof of disability will be required upon request.Please contact the Benefits <br /> Specialist if further clarification is needed. <br /> 85 <br /> 3 <br /> ©2016,Gehring Group,Inc.,All Rights Reserved <br />