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Eligibility

Covering Yourself and Your Family

You’re eligible for benefits if you’re an active, full-time employee regularly scheduled to work at least 30 hours per week. You can also enroll your spouse/domestic partner and children, as described below.

 

  • Legal spouse, unless you are legally separated or divorced 

  • Domestic partner is defined as same-sex and opposite sex couples who have completed an Affidavit of Domestic Partnership. You are required to provide proof of relationship for both marriage and domestic partnership. 

  • Dependent children up to age 26, including:

    • Natural or legally-adopted children, as well as children placed with you for adoption 

    • Step children 

    • Children of enrolled domestic partners 

    • Children for whom you are responsible to provide health coverage based on a qualified medical child support order (“QMCSO”) 

    • Children for whom you are responsible under court order, including your grandchildren in your court-ordered custody 

    • Foster children who have been placed with you by an authorized placement agency or by judgment, decree or other order of any court of competent jurisdiction 

    • Any physically or mentally disabled child,** regardless of age, whose coverage was continued under your former plan of insurance that was in effect on the day before the effective date of this coverage.

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** If totally disabled before age 19, unable to work, and solely dependent on you for their support and maintenance

Proof of Dependent Eligibility

Natus and its health plan providers may ask you to show proof of dependent eligibility at enrollment and other times. For example, you may be asked to provide a marriage license, domestic partnership affidavit, birth certificate, or adoption papers. Enrolling ineligible dependents or continuing them under your benefit coverage is fraud and grounds for disciplinary action, up to and including termination of employment. In addition, you will be financially liable for any benefits paid for ineligible dependents.

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