- Legal spouse
- Natural or adopted children to age 26
- Children to age 26, over whom you have legal guardianship or legal foster care
Grandchildren and stepchildren to age 26 if they qualify as your dependents for federal income-tax purposes and live with you
- A dependent child who is 26 or older, primarily supported by you, and incapable of self-sustaining employment by reason of mental incapacity, physical disability or handicap which arose while the child was covered as a dependent under these plans, or while covered as a dependent under prior city plans without a break in coverage. Upon applying and receiving third party medical administrator’s approval, proof of the child’s condition and dependence must be submitted within 31 days or the child ceases to qualify for benefits.
- Dependents (children and grandchildren) for whom a court order has been received requiring the employee to provide healthcare coverage, provided HR Benefits receives the court order within 31 days after issuance.
After a divorce, an ex-spouse is not eligible, except by court order issued at the time of a divorce. A divorce decree may be amended to require a retiree to cover an ex-spouse under a city medical plan.
Changes to your benefits are limited to open-enrollment periods, unless you have experienced a qualifying life event.