Add/Disenroll a Dependent

With Health Plus plans, you may add or disenroll spouses or children. You must be the Subscriber on a Health Plus plan to make these changes.

To add a spouse or dependent children

All dependents must undergo Medical Underwriting for approval based on their health status, which may take up to eight weeks depending upon availability of medical records. Newborns and newly adopted children may be added without a medical screening as long as requirements are met. (See below.)

Dependents can be:

• The legal spouse or Common Law spouse of the subscriber
• A child:

  • a son or daughter born to the Subscriber or Subscriber's spouse; or be the Subscriber's grandchild; or be the stepchild of the Subscriber, or be the legally adopted child of the Subscriber or Subscriber's spouse with legal adoption evidenced by a decree of adoption by a Texas court or the equivalent thereof by a court of another state; or be a child the Subscriber is seeking to adopt and Subscriber is a party in a lawsuit to effect such adoption; or be a child for whom the Subscriber of Subscriber's spouse is ordered to provide medical support by an order issued under Section 14.061, Texas Family Code, or court order enforceable by a Texas Court.

    Dependent children will be covered to age 25 as long as their permanent legal residence is the same as the Subscriber's. Permanent legal residence will be defined as the address at which the dependent intends to live for the current contract year.

    A child of any age if the child is incapable of self-sustaining employment by reason of metal retardation or physical handicap and is chiefly dependent upon Subscriber for support and maintenance and medical certification acceptable to Scott & White Health Plan is provided at the time of enrollment.

    Dependent must not be married.

• Newborns are covered under their parent's plan the first 31 days after birth. Parents have 60 days from the date of birth to submit a completed application and pay the appropriate premium for the newborn child. Newly adopted children may also be added to the Subscriber's policy without undergoing Medical Underwriting for approval so long as the Health Plan receives application and payment of appropriate premiums within 30 days of the date of adoption or the date the adoption papers are filed. Please contact customer service to add a newborn (born within 60 days) so the appropriate information and forms may be sent to you.
• A grandchild of the Subscriber. The subscriber may enroll their grandchild(ren) if the child lives with the Subscriber. The grandparent must complete an affidavit stating that the grandchild is a dependent for Federal Income Tax purposes.

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