2021 Archdiocese of Atlanta Meritain Group Plan Doc - Manual / Resource - Page 7
Your Dependents are eligible for participation in this Health Care Plan provided he/she is:
Your Child until the end of the month in which he/she attains age 26.
Your Child age 26 or older, who is unable to be self-supporting by reason of mental or physical handicap and
is incapacitated, provided the child suffered such incapacity prior to the end of the month in which he/she
attained age 26. Your Child must be unmarried, primarily dependent upon you for support, and have the same
principal residence as the Employee. The Health Care Plan Sponsor may require subsequent proof of your
Child’s disability and dependency, including a Physician’s statement certifying your Child’s physical or mental
A child for whom you are required to provide health coverage due to a Qualified Medical Child Support Order
(QMCSO). Procedures for determining a QMCSO may be obtained from the Employer at no cost.
The below terms have the following meanings:
“Spouse” means a person of the opposite sex recognized as the Covered Employee's husband or wife under the
laws of the state where you live. Specifically excluded from this definition is a Spouse by reason of common law
marriage or a Spouse of the same gender, whether or not permitted in your State. The Employer may require
documentation proving a legal marital relationship.
“Child” means your natural born son, daughter, stepson, stepdaughter, legally adopted child (or a child placed with
you in anticipation of adoption), or a child for whom you are the Legal Guardian. Coverage for a child for whom you
are the Legal Guardian will remain in effect until such child no longer meets the age requirements of an eligible
Dependent under the terms of the Health Care Plan, regardless of whether or not such child has attained age 18
(or any other applicable age of emancipation of minors). The term “Child” does not include a child of any “samesex” or “opposite-sex” domestic partner, or a child of any “same-sex” Spouse.
"Child placed with you in anticipation of adoption" means a child that you intend to adopt, whether or not the adoption
has become final, who has not attained the age of 18 as of the date of such placement for adoption. The term
"placed" means the assumption and retention by you of a legal obligation for total or partial support of the child in
anticipation of adoption of the child. The child must be available for adoption and the legal process must have
“Legal Guardian” means a person recognized by a court of law as having the duty of taking care of the person and
managing the property and rights of an individual that is placed with such person by judgment, decree or other
order of any court of competent jurisdiction.
To establish an individual’s status as an eligible Dependent it is necessary to provide the documentation of the
relationship to the Employer. Except as regarding Medicaid or a state Children’s Health Insurance Program (CHIP),
all documents must be received within 31 days of whichever of the following occurs first: an Employee’s eligibility
date if the Employee has any eligible Dependents at that time, or the date the Employee acquires an eligible
Dependent. For example, to add a natural born son or daughter to the Health Care Plan, acceptable proof would
be a copy of the birth certificate. For more information on the acceptable documents, contact the Employer.
The Plan Administrator, in its sole discretion, shall have the right to require documentation necessary to establish
an individual’s status as an eligible Dependent.
When you and your Spouse are both Covered Employees
When both you and your Spouse are Covered Employees, each of you must be covered as an Employee. You may
not be covered under this Health Care Plan as both an Employee and a Dependent. Eligible Dependent children of
two Covered Employees may not be enrolled as Dependents of both Employees, whether the Employees are
married or unmarried.