10 • Court (legal) documents showing legal guardianship or adoption; • Acknowledgement of paternity; • Receipt of a Qualified Medical Child Support Order pursuant to terms of the Fund; or • Notarized affidavits. The date a person becomes a dependent means: • With respect to a newborn child, the date of birth; • With respect to a stepchild , the date of your marriage to your stepchild ’s parent; • With respect to a foster child, the date the child is placed with you for foster care; • With respect to a child named in a QMCSO, the later of the date specified in the court order or the date it is qualified; • With respect to an adopted child, the date of adoption or placement for adoption; or • With respect to a Spouse, the date of the marriage; • With respect to a ch ild for whom you are legal guardian, the date the guardianship papers are signed by the Court . Effective Date of Coverage for Active Employees Your coverage will become effective on the first day of the month in which you become an eligible Employee, you enroll in the Plan, and your Employer contributes to the Fund on your behalf. Effective Date of Coverage for Eligible Dependents On the day you become eligible for coverage under the Plan, your eligible dependents also become eligible, provide d they are en rolled in the Plan within 30 days of your eligibility effective date, and meet all the requirements for coverage. If you marry after the date you initially become covered under the Plan, your Spouse becomes covered on the day of marriage provided you give the Fund Office timely notice of the marriage, complete the required paperwork within the permissible time period as set forth under the subsection “Special Enrollment During Mid - Coverage Period.” If, after the date you initially become covered under the P lan, you have a newborn biological child, an adopted child, a stepchild, a child placed with you for adoption, or a foster child such child will become covered on the date of their birth (for a newborn biological child) or on the date the child is adopted or placed in your home (for step, adopted, or foster children). To ensure a new dependent receives coverage, you must notify the Fund Office within 30 calendar days of the date you acquire a new dependent through marriage, birth, foster placement, or adopt ion. You must also submit all required paperwork, and your Employer must make the required contribution for dependent coverage (e.g. Employee plus Spouse, Employee plus children, family). Determination of Eligibility for Coverage Your eligibility for cove rage under this Plan is determined each month, based on the contributions received from your employer. After the initial determination of your eligibility, your eligibility and coverage will terminate on the last day of any month in which you no longer qua lify as an Employee, and your employer does not remit the required contribution for your coverage.
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