All applicants applying for coverage must meet age, dependent status, and residency requirements.
Age and Dependent Requirements
Other insured persons may include the following family members:
You are eligible for coverage under this Policy if, at the time of application:
You are a citizen or national of the United States, or a non-citizen who is lawfully present in the United States, and are reasonably expected to be a citizen,
national, or a non-citizen who is lawfully present for the entire period for which enrollment is sought; and You are a resident of the state of CO; and
You live in the Enrollment Area in which You are applying, and intend to continue living there for the entire period for which enrollment is sought; and
You are not incarcerated other than incarceration pending the disposition of charges; and
You do not reside in an Institution; and
You have submitted a completed and signed application for coverage and have been accepted in writing by Us.
Other Insured Persons may include the following Family Member(s):
Your lawful spouse, including a partner in a civil union, who lives in the Service Area. Your children until the end of the plan Year in which the child reaches age 26.
Your stepchildren until the end of the plan Year in which the child reaches age 26.
Your own, or Your spouse's children, regardless of age, enrolled prior to age 26, who are incapable of self-support due to medically certified, continuing intellectual or physical disability and are chiefly dependent upon the Insured Person for support and maintenance. Cigna Healthcare may require written proof of such disability and dependency within 31 days prior to the end of the Year in which the child reaches age 26.
Your own, or Your spouse's Newborn children are automatically covered for the first 31 days of life. To continue coverage past that time You must enroll the child as a Family Member by applying for his or her enrollment as a Family Member within 60 days of the date of birth, and pay any additional premium. Coverage for a newborn dependent child enrolled within 60 days of birth will be retroactive to the date of the child’s birth.
An adopted child, including a child who is placed with you for adoption, is automatically covered for 31 days from the date of the adopted child’s placement for adoption or initiation of a suit of adoption. To continue coverage past that time You must enroll the child as a Family Member by applying for his or her enrollment as a Family Member within 60 days of the date of adoption, and pay any additional premium. Coverage for an adopted dependent child enrolled within 60 days of adoption will be retroactive to the date of the child’s placement for adoption, initiation of a suit of adoption or after the date the child is placed with you for adoption, and paying any additional premium.
A child who is placed with you for foster care, is automatically covered for 31 days from the date of placement with you for foster care. To continue coverage past that time You must enroll the child as a Family Member by applying for his or her enrollment as a Family Member within 60 days of the date of placement with you for foster care, and pay any additional premium. Coverage for a foster child enrolled within 60 days of being placed with you for foster care will be retroactive to the date of the child’s initial placement with you in foster care and paying any additional premium.
If a court has ordered a Policyholder to provide coverage for an eligible child (as defined above) coverage will be automatic for the first 31 days following the date on which the court order is issued. To continue coverage past that time You must enroll the child as a Family Member by applying for his or her enrollment as a Family Member within 60 days of the court order date, and paying any additional premium. Court-ordered coverage for a dependent child enrolled within 60 days of the court order will be retroactive to the date of the court order.
Please refer to the policy for additional eligibility requirements.
Residency Requirements
Must be a citizen or national of the United States, or a non-citizen who is lawfully present in the United States, and is reasonably expected to be a citizen, national, or a non-citizen who is lawfully present for the entire period for which enrollment is sought.