Dependent Coverage
Your eligible dependents may be covered under your plan.
Newborn
Your newborn is automatically covered for up to 31 days following the date of birth. Please call Member Services to apply for family or parent and child(ren) coverage, or to add your newborn to your coverage, before the end of the 31-day period.
New Jersey requires the above automatic coverage for newborns and coverage for dependents under age 31 years and civil union partners. These New Jersey provisions are optional for self-insured groups. Please check with your benefits administrator to find out if they are included in your plan.
Child
An eligible child may include your own child, a legally adopted child, stepchild, civil union partner’s child1 or a child for whom you have court-appointed guardianship. If your employer offers domestic partner coverage, an eligible child may include the child of your domestic partner.
Disabled child
Your child may be eligible past the group’s limiting age if he/she has a mental/physical incapacity or developmental disability. Proof of disability is required.
Child Dependents to age 26 years
Most children who are under age 26 years are eligible under federal health care reform law to be covered under their parent’s coverage.
Certain group plans do not allow dependent children who have access to their own coverage to be covered under their parent’s group plan. Check with your employer for details.
Dependents under age 31 years
Dependent children under age 31 may continue coverage if they are older than the limiting age on their parent’s plan and meet certain eligibility requirements. For more information, and to determine eligibility, please contact your employer or benefits administrator.
New Jersey requires the above automatic coverage for newborns and coverage for dependents under age 31 years and civil union partners. These New Jersey provisions are optional for self-insured groups. Please check with your benefits administrator to find out if they are included in your plan.
Spouse
We must receive your enrollment form within 30 days of your marriage date for your spouse to be added to your plan, effective on your marriage date. Proof of marriage is required when your last name and your spouse’s last name are different.
Civil Union Partner
You may add a civil union partner to your coverage. If we receive your enrollment form within 30 days of your civil union partner’s eligibility date (which is generally the date of establishment of the civil union), a civil union partner’s coverage will become effective on his or her eligibility date. If we don’t receive your form within 30 days of the applicable eligibility date, your civil union partner’s coverage will become effective on the date we receive your enrollment form. Proof of civil union is required when your last name and your partner’s last name are different.
New Jersey requires the above automatic coverage for newborns and coverage for dependents under age 31 years and civil union partners. These New Jersey provisions are optional for self-insured groups. Please check with your benefits administrator to find out if they are included in your plan.
Domestic Partner
Please call your employer or benefits administrator to determine if they have selected this coverage option for your plan.
For specific information and instructions on how to apply for dependent coverage, please refer to your SPD or Benefit Booklet, or call Member Services at 1-800-355-BLUE (2583). You may also find any necessary enrollment forms online.
