New Jersey Administrative Code
Title 17 - TREASURY - GENERAL
Chapter 9 - STATE HEALTH BENEFITS PROGRAM
Subchapter 3 - DEPENDENTS
Section 17:9-3.1 - Dependents and children defined
Current through Register Vol. 56, No. 6, March 18, 2024
The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.
"Children" includes stepchildren living with the subscriber, legally adopted children, children placed in the employee's custody pending adoption, foster children, and children of an eligible domestic or civil union partner who are substantially dependent upon the employee for support and maintenance. This includes children in a guardian-ward, legal relationship who are living with the employee.
"Dependents" means an employee's spouse, eligible domestic or civil union partner and the employee's children through the end of the calendar year in which they reach the age of 26 years. "Dependents" also means unmarried children and those not in a domestic partnership or civil union, covered by their parents under the SHBP prior to the attainment of age 26, who:
1. Are incapable of self-sustaining employment by reason of mental or physical disabilities;
2. Became so incapable prior to attainment of age 26; and
3. Are substantially dependent upon such employees for support and maintenance while the insurance of the employees remain in force and the dependents remain in such conditions.
"Living with" shall be defined so as to include children in the case of divorce or termination of a domestic partnership or civil union who may not actually be living with the covered parent, but where such covered parent is required to provide for the support and maintenance of such children, and the parent's application for dependent coverage is documented by a copy of an appropriate court order. Stepchildren and children of an eligible domestic or civil union partner must reside with the employee.
