Part 12 – Individual Policy (continued) WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 106 An eligible dependent may also include:  A person under age 26 who is not the subscriber’s (or the subscriber’s spouse’s) child but who qualifies as a dependent of the subscriber under the Internal Revenue Code. When the dependent loses their dependent status under the Internal Revenue Code, that dependent will continue to be eligible as a dependent for coverage in this health plan under the subscriber’s individual contract for two years after the end of the calendar year in which they last qualified as a dependent under the Internal Revenue Code or until the dependent turns age 26, whichever comes first.  A child recognized under a Qualified Medical Child Support Order as having the right to enroll for health care coverage.  A disabled dependent child age 26 or older. A dependent child who is mentally or physically incapable of earning their own living and who is enrolled under the subscriber’s individual contract will continue to be covered after they would otherwise lose dependent eligibility under the subscriber’s individual contract, so long as the child continues to be mentally or physically incapable of earning their own living. In this case, the subscriber must make arrangements with Blue Cross Blue Shield HMO Blue not more than 30 days after the date the child would normally lose eligibility. Also, Blue Cross Blue Shield HMO Blue must be given any medical or other information that it may need to determine if the child can maintain coverage in this health plan under the subscriber’s individual contract. From time to time, Blue Cross Blue Shield HMO Blue may conduct reviews that will require a statement from the attending physician. This is to confirm that the child is still an eligible disabled dependent child. Important Reminder: The eligibility provisions for dependents that are described in this section may differ from the federal tax laws that define who may qualify as a dependent. Enrollment Periods Open Enrollment Period If you are an eligible individual, you can enroll for coverage in this health plan under an individual contract only during a designated open enrollment period, except when any of the special enrollment situations as described below apply to you. For information about open enrollment periods and when they occur, you may contact the Blue Cross Blue Shield HMO Blue customer service office. Special Enrollment If any one of the following special enrollment situations applies, you may enroll for coverage in this health plan under an individual contract, without waiting for a designated open enrollment period. In any of these situations, you will be enrolled within 30 days of the date that Blue Cross Blue Shield HMO Blue receives your completed enrollment form.  You had prior creditable health care coverage. Blue Cross Blue Shield HMO Blue must receive your enrollment request within 63 days of the termination date of the prior health care coverage.  You have a qualifying event, including (but not limited to): marriage; birth or adoption of a child; court-ordered care of a child; loss of coverage as a dependent under a group or government health plan; or any other event as may be designated by the Commissioner of Insurance. Blue Cross Blue Shield HMO Blue must receive your enrollment request within 63 days of the event or within 30 days of the event if coverage is for an eligible dependent.  You have been granted a waiver by the Office of Patient Protection to enroll outside of the open enrollment period. Enrollment Process To apply for coverage in this health plan under an individual contract, you must complete an enrollment application. Send your completed application to Blue Cross Blue Shield HMO Blue. You must also send