Part 11 – Group Policy (continued) WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 95 Shield HMO Blue will not be liable for any acts or omissions due to having the former spouse’s incorrect address on file. If the subscriber remarries, the former spouse may continue coverage in this health plan under a separate membership within the subscriber’s group, provided the divorce judgment requires that the subscriber provide health insurance for the former spouse. This is true even if the subscriber’s new spouse is not enrolled for coverage in this health plan under the subscriber’s group contract. Eligible Dependents The subscriber may enroll eligible dependents for coverage in this health plan under their group contract. “Eligible dependents” include the subscriber’s (or subscriber’s spouse’s) children until the end of the calendar month in which the child turns age 26. To be an eligible dependent, the child is not required to live with the subscriber or the subscriber’s spouse, be a dependent on the subscriber’s or spouse’s tax return, or be a full-time student. These eligible dependents may include:  A newborn child. The effective date of coverage for a newborn child will be the child’s date of birth provided that the subscriber formally notifies the plan sponsor within 30 days of the date of birth. (A claim for a member’s maternity admission may be considered by Blue Cross Blue Shield HMO Blue to be this notice when the subscriber’s coverage is a family plan.) This health plan provides coverage for newborn infants for injury and sickness. This includes the necessary care and treatment of medically diagnosed congenital defects, birth abnormalities, and premature birth. The coverage for these services is subject to all of the provisions of this health plan.  An adopted child. The effective date of coverage for an adopted child will be the date of placement of the child with the subscriber for the purpose of adoption. The effective date of coverage for an adoptive child who has been living with the subscriber and for whom the subscriber has been getting foster care payments will be the date the petition to adopt is filed. If the subscriber is enrolled under a family plan as of the date they assume custody of a child for the purpose of adoption, the child’s health care services for injury or sickness will be covered from the date of custody. (This coverage is provided without a waiting period or pre-existing condition restriction.) This includes the necessary care and treatment of medically diagnosed congenital defects, birth abnormalities, and premature birth. The coverage for these services is subject to all of the provisions of this health plan.  A newborn infant of an enrolled dependent child immediately from the moment of birth and continuing after, until the enrolled dependent child is no longer eligible as a dependent. If an eligible dependent child is married, the dependent child can enroll for coverage under the subscriber’s group contract. And, as long as that enrolled child is an eligible dependent, their children are also eligible for coverage under the subscriber’s group contract. The dependent child’s spouse is not eligible to enroll as a dependent for coverage under the subscriber’s group contract. An eligible dependent may also include:  A person under age 26 who is not the subscriber’s (or 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 group 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 group contract will continue to be covered after they would otherwise lose dependent eligibility under the subscriber’s