Eligible Dependents
An eligible dependents is defined as an employee's spouse and/or child(ren).
Spouse - The Subscriber's legal spouse in the Subscriber's state of primary residence.
Child(ren) - The Subscriber's unmarried child who relies on the Subscriber for over 50 percent of his/her financial support. Children may include:
Eligibility will be continued past these Age Limits for Children only for those already enrolled unmarried children who cannot work to support themselves due to mental retardation or physical or mental handicap. These children must be allowed as a federal tax exemption by the Subscriber or Subscriber's Spouse. The child's disability must start before the end of the period they would become ineligible for benefits. The Plan must certify the child's eligibility. The Employer must be informed of the child's eligibility for continuation of benefits under the Plan within 120 days after the child would normally become ineligible. The Employer may require continued proof of such disability annually after the two year period following this child's attainment of the limiting age.
The Employer may require the Subscriber to submit proof of continued eligibility for any enrolled child. Your failure to provide this information could result in termination of a child's benefits under the Plan. To enroll children under the Plan, the Subscriber may be required to complete a "Dependency Affidavit" and provide a copy of any legal documents awarding guardianship of such child(ren) to the Subscriber. Temporary custody is not sufficient to establish eligibility under the Plan. Any foster child who is eligible for any governmental program or law will not be eligible for benefits under the Plan unless required by the laws of the Subscriber's state of residence.
You will be required to submit documentation to verify the following dependents.
Spouse:
A copy of your marriage certificate
AND
One form of documentation establishing current marital status such as a joint household bill, joint bank/credit account, or the front page of your most recently filed federal tax return.
Child(ren):
A copy of the child's birth certificate which includes the names of the parents or appropriate court order/adoption decree naming you or your spouse as the child's legal guardian
AND
A copy of the front page of your most recently filed federal tax return confirming this child as a dependent (with all financial information concealed).
Step-Child who lives with you:
A copy of the child's birth certificate
AND
A copy of the front page of your most recently filed federal tax return confirming this child as a dependent (with all financial information concealed).
Student:
A copy of the current school schedule or enrollment verification statement that confirms the dependent's status as a full-time student
AND
A copy of the child's birth certificate which includes the names of the parents or appropriate court order/adoption decree naming you or your spouse as the child's legal guardian.
Disabled Dependent:
A copy of the child's birth certificate which includes the names of the parents or appropriate court order/adoption decree naming you or your spouse as the child's legal guardian
AND
An Affidavit will need to be completed to prove disability through the insurance carrier.
Documentation is required when new dependents are added to an employee's medical and/or dental plan. Participants have 30 days to add a dependent from the Change in Family Status date and 60 days to submit the required documentation. Failure to submit required documentation within 60 days will result in the dependent being retro-actively removed from coverage. Failure to add your dependent within 30 days will result in waiting until next year's open enrollment.
Documentation can be sent via mail (regular U.S. mail or inter-office) or fax it to the Benefits department.
Regular U.S. Mail:
E.ON U.S.
Attn: Benefits Department
PO Box 32030
Louisville, KY 40232
Inter-office mail:
E.ON U.S. BLDG - 16th Floor
Benefits Fax: 502-217-2412
The information on this Web Site, including all attachments but excluding the plan document, is intended to provide brief descriptions of the benefit plans and is not a comprehensive disclosure of all plan terms. Detailed information can be found in the Summary Plan Descriptions and in the plan documents. If statements on this Web Site, including all attachments but excluding the plan document, are inconsistent with the formal provisions of those documents, the formal provisions of those documents will apply and control.
The company intends to continue the benefit plans described in this Web Site indefinitely. But circumstances may change, and the company reserves the right to change, suspend or terminate them at any time.
Spouse - The Subscriber's legal spouse in the Subscriber's state of primary residence.
Child(ren) - The Subscriber's unmarried child who relies on the Subscriber for over 50 percent of his/her financial support. Children may include:
- natural children (who live in or outside your home),
- legally adopted children (The event date for an adopted child is the earlier of the date of adoption or date of placement for adoption. Placement for adoption means the assumption and retention of legal obligation for total and partial support for a child in anticipation of adoption of such child.),
- children under your legal guardianship, and
- stepchildren who reside with you as the primary caregiver in a normal parent-child relationship.
Eligibility will be continued past these Age Limits for Children only for those already enrolled unmarried children who cannot work to support themselves due to mental retardation or physical or mental handicap. These children must be allowed as a federal tax exemption by the Subscriber or Subscriber's Spouse. The child's disability must start before the end of the period they would become ineligible for benefits. The Plan must certify the child's eligibility. The Employer must be informed of the child's eligibility for continuation of benefits under the Plan within 120 days after the child would normally become ineligible. The Employer may require continued proof of such disability annually after the two year period following this child's attainment of the limiting age.
The Employer may require the Subscriber to submit proof of continued eligibility for any enrolled child. Your failure to provide this information could result in termination of a child's benefits under the Plan. To enroll children under the Plan, the Subscriber may be required to complete a "Dependency Affidavit" and provide a copy of any legal documents awarding guardianship of such child(ren) to the Subscriber. Temporary custody is not sufficient to establish eligibility under the Plan. Any foster child who is eligible for any governmental program or law will not be eligible for benefits under the Plan unless required by the laws of the Subscriber's state of residence.
Required Documentation When Adding Dependents:
You will be required to submit documentation to verify the following dependents.
Spouse:
A copy of your marriage certificate
AND
One form of documentation establishing current marital status such as a joint household bill, joint bank/credit account, or the front page of your most recently filed federal tax return.
Child(ren):
A copy of the child's birth certificate which includes the names of the parents or appropriate court order/adoption decree naming you or your spouse as the child's legal guardian
AND
A copy of the front page of your most recently filed federal tax return confirming this child as a dependent (with all financial information concealed).
Step-Child who lives with you:
A copy of the child's birth certificate
AND
A copy of the front page of your most recently filed federal tax return confirming this child as a dependent (with all financial information concealed).
Student:
A copy of the current school schedule or enrollment verification statement that confirms the dependent's status as a full-time student
AND
A copy of the child's birth certificate which includes the names of the parents or appropriate court order/adoption decree naming you or your spouse as the child's legal guardian.
Disabled Dependent:
A copy of the child's birth certificate which includes the names of the parents or appropriate court order/adoption decree naming you or your spouse as the child's legal guardian
AND
An Affidavit will need to be completed to prove disability through the insurance carrier.
How and when to submit required documentation for adding new dependents:
Documentation is required when new dependents are added to an employee's medical and/or dental plan. Participants have 30 days to add a dependent from the Change in Family Status date and 60 days to submit the required documentation. Failure to submit required documentation within 60 days will result in the dependent being retro-actively removed from coverage. Failure to add your dependent within 30 days will result in waiting until next year's open enrollment.
Documentation can be sent via mail (regular U.S. mail or inter-office) or fax it to the Benefits department.
Regular U.S. Mail:
E.ON U.S.
Attn: Benefits Department
PO Box 32030
Louisville, KY 40232
Inter-office mail:
E.ON U.S. BLDG - 16th Floor
Benefits Fax: 502-217-2412
The information on this Web Site, including all attachments but excluding the plan document, is intended to provide brief descriptions of the benefit plans and is not a comprehensive disclosure of all plan terms. Detailed information can be found in the Summary Plan Descriptions and in the plan documents. If statements on this Web Site, including all attachments but excluding the plan document, are inconsistent with the formal provisions of those documents, the formal provisions of those documents will apply and control.
The company intends to continue the benefit plans described in this Web Site indefinitely. But circumstances may change, and the company reserves the right to change, suspend or terminate them at any time.
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