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Dependent Eligibility

The following family members of Active and Retired Participants are eligible for coverage:

  • Legal spouse, including same-sex spouse. The Plan does not provide coverage for same-sex or opposite sex domestic partners.
  • Children under 26 years of age who are the Participant’s biological, step or adopted child. Additionally, a child placed with the Employee in anticipation of adoption for whom the Participant has a legal support obligation, or a child for whom a Qualified Medical Child Support Order requires the Participant to furnish medical coverage.
  • Children under 26 years of age for whom an Active or Retired Participant has been appointed Legal Guardian or Conservator by court order.

Important: You must notify the Fund Office and enroll new dependents within 30 days of the marriage, birth, adoption, placement for adoption, or appointment of guardianship or conservatorship. You will be required to provide certain documents.

Qualified Medical Child Support Orders (QMCSO)

A medical child support order is a court order that provides for medical child support or health benefit coverage with respect to a dependent child. In order to provide eligibility and pay benefits in accordance with a medical child support order, the Plan must determine that the order is a Qualified Medical Child Support Order (QMCSO). You may obtain a copy of the Plan’s procedures for determining whether or not an order is a QMCSO from the Fund Office. The Fund Office can also provide you or your attorney, free of charge, with a model form order, which you or your attorney can use as a guide to draft a QMCSO. For a copy of this form please contact the Fund’s Member Services Department at (866) 400-5200 or visit our website at www.oefi.org.

Termination of Dependent Eligibility

The eligibility of a dependent will terminate on the last day of the month in which they no longer qualify as a Dependent.