Blue Cross Blue Shield of Minnesota: Definitions of Spouse and Children

1. Spouse, meaning:

a. Married
b. Legally separated
c. Domestic Partner of the employee. An adult whom the Plan Administrator determines:


1)
 is in a committed and mutually exclusive relationship, jointly responsible for the domestic partner's welfare and financial obligations; and
2)
 is at least 18 years of age and unmarried; and
3)
 resides with the domestic partner in the same principal residence and intends to do so permanently; and
4)
 is not a blood relative of the domestic partner; and
5)
is of the same gender as the other domestic partner; and
6)
 is mentally competent.


2.

 Unmarried children of the domestic partner of the employee to age 19.
3. Unmarried natural-born dependent children to age 19.
4. Unmarried legally adopted children and children placed with you for legal adoption to age 19. Date of placement means the assumption and retention by a person of a legal obligation for total or partial support of a child in anticipation of adoption of the child. The child's placement with a person terminates upon the termination of the legal obligation of total or partial support.
5. Unmarried stepchildren to age 19 who live with you and who are claimed as exemptions on your Federal income tax return.
6. Unmarried legal wards to age 19.
7. Unmarried grandchildren to age 19 who live with you continuously from birth and are claimed as exemptions on your Federal income tax return.
8. Unmarried children of the employee who are required to be covered by reason of a Qualified Medical Child Support Order (QMCSO), as defined in ERISA 609(a). The Plan has detailed procedures for determining whether an order qualifies as a QMCSO. You and your dependents can obtain, without charge, a copy of such procedures from the Plan Administrator.