Enrollment Guidelines

1. PRINCIPAL MEMBERS. A Principal Member is an employee who actively works full time and meets the requirement of the Client as an eligible member. The names of the Members must be in the list submitted by the Client to Intellicare. 

Minimum and Maximum Enrollment Ages. A person who has attained the age of eighteen (18) years old but not more than sixty-five (65) years old. Attained age is defined as the age last birthday. 

2. DEPENDENTS. Persons designated by a Principal for membership under this Agreement must be enrolled simultaneously or within thirty (30) days upon reaching six (6) months from the date of the Principal’s enrollment, except for cases involving marriage or the birth of a child wherein enrollment must be made within thirty (30) days from date of eligibility. Otherwise, a dependent can no longer be enrolled.

a) MARRIED PRINCIPAL. Hierarchy: 

• 1st Priority-Legal Spouse, not more than sixty-five (65) years old; 

• 2nd Priority- Legitimate biological, legally adopted or legitimized children at least thirty (30) days old and not more than twenty-one (21) years old who are unmarried, unemployed, wholly dependent financially upon the member. 

b) SINGLE / UNMARRIED PRINCIPAL. Hierarchy: 

• 1st Priority-Biological children who are unmarried, unemployed, at least thirty (30) days old and not more than twenty-one (21) years old who are unmarried, unemployed, wholly dependent financially upon the member; 

• 2nd Priority-Parents not more than sixty-five (65) ; and 

• 3rd Priority-Brothers, Sisters at least thirty (30) days old and not more than twenty-one (21) years old who are unmarried, unemployed, wholly dependent financially upon the member. 

c) UNMARRIED PRINCIPAL WITH COMMON LAW PARTNER/SAME        GENDER DOMESTIC PARTNER

• 1st Priority - Legitimate, legally adopted, or legitimized children who are unmarried, unemployed, wholly dependent financially upon the member at least thirty (30) days old and not more than twenty-one (21) years old

• 2nd Priority - Unmarried Common-law partner/ same-gender domestic partner (up to 65 years old)

Note: Parents and siblings of principal with domestic partner/common law/same-gender domestic partner will automatically be terminated upon enrollment of common law/same-gender domestic partner.

3. HIERARCHY RULE FOR SELECTING QUALIFIED DEPENDENTS. 

Intelicare reserves the right to require at any time the submission of such documents which Intellicare may deem appropriate for the purpose of validating the eligibility of Principal Members and their Dependents.