Department of Employee Trust Funds
Revised November 14, 2011
2012 Dependent Eligibility Information
Eligibililty for Adult Children
Who is eligible as a dependent if I select family coverage?
- Your spouse.
- Your domestic partner if elected.
- Your children who include:
1. Your natural children.
2. Stepchildren or children of your domestic
partner insured on the policy.
3. Adopted children and preadoption placements.
Coverage will be effective on the date that a court makes
a final order granting adoption by the subscriber or on the
date the child is placed in the custody of the subscriber,
whichever occurs first. These dates are defined by Wis. Stat.
§ 632.896. If the adoption of a child is not finalized,
the insurer may terminate coverage of the child when the adoptive
4. Legal wards that become your permanent
ward before age 19. Coverage will be effective on the date
that a court awards permanent guardianship to you (the subscriber
or your spouse or Domestic Partner).
Note: Children may be covered until the end of
the month in which they turn 26. His/her spouse and dependents are
not eligible. Upon losing eligibility, they may be eligible for
COBRA continuation. (See Question 60. Who is eligible for continuation?)
Coverage may continue beyond that when children:
1. Have a disability of long standing duration,
are dependent on you or the other parent for at least 50% of
support and maintenance, and are incapable of self-support.
2. Are full-time students and were called to
federal active duty when they were under the age of 27 years
and while they were attending, on a full-time basis, an institution
of higher education. Note: The adult child must apply to an
institution of higher education as a full-time student within
12 months from the date the adult child fulfilled his or her
active duty obligation.
- Your grandchildren born to your insured dependent children may
be covered until the end of the month in which your insured dependent
(your grandchild’s parent) turns age 18. Your child’s
eligibility as a dependent is unaffected by the birth of the grandchild.
IMPORTANT NOTE: There are state and/or federal
tax consequences to you when you provide coverage for dependents
that do not meet the support test for federal income tax purposes.
Examples of such dependents are domestic partners and the adult
children of domestic partners who are not dependent on you or the
other parent for at least 50% of their support and maintenance.
Income Tables (Fair Market Value for Non-Tax Dependents)