A retiree’s spouse is eligible if the Retiree is enrolled in coverage. A common-law spouse is eligible for coverage if the relationship is recognized by the laws of the state in which the retiree is enrolled. Retirees may not add a new Same-Sex Domestic Partner or children of the Same-Sex Domestic partner after their retirement effective date.
In order for Children to be eligible for coverage under the plan they must meet all five eligibility tests. Retirees may add children as dependents, but Surviving Spouses/Same-Sex Domestic Partners may not.
The five eligibility tests include:
Relationship – natural child, stepchild, legally adopted, or legal guardian
Age – may be eligible until the end of the month in which they turn age 26 or age 18 in case of a legal guardianship.
- Children determined to be Permanently and Totally Disabled (PTD) may continue health care coverage beyond the age of 26. Retirees can request a Disabled Dependent Certification Package from Retiree Health Care Connect (RHCC) by phone or online. A child is considered to be PTD when the following applies:
- they were PTD prior to the end of the month in which they turn age 26;
- they have a medically determinable physical or mental condition that prevents the dependent from engaging in substantial gainful activity and which can be expected to result in death or be of long-continued or indefinite duration;
- the dependent must not earn more than $10,000; and
- the PTD dependent must meet all other eligibility requirements.
Marital Status – unmarried
Residency – must live with the primary enrollee
Dependency – can be claimed as an exemption on his or her federal income tax