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• • <br />,t <br />r-- n <br />Such term shall also include a dependent child after his 19th birth- <br />day, provided the child becomes both (1) incapable of self-sustain- <br />ing employment by reason of mental retardation, physical handicap or <br />total disability, and (2) chiefly dependent upon the Covered Employ- <br />ee for support and maintenance while covered under this Plan or a <br />prior plan offered by the Employer on the day prior to the effective <br />date of this Plan. Such qualifications will continue coverage for <br />the child beyond his 19th birthday. <br />Proof of such incapacity or dependency must be furnished to the Plan <br />by the covered Employee within thirty one (31) days of the child's <br />19th birthday or date of disability and at reasonable intervals <br />thereafter. <br />Excluded as dependents are any person(s): <br />a. Legally separated from the Covered Employee, <br />b. While such person is on active duty in any military for any <br />country and, <br />c. Who is a Covered Employee under this Plan, <br />d. Claiming dependency on a Retiree who was eligible but not <br />enrolled for coverage on the effective date of retirement. <br />Plan Document section EFFECTIVE DATES OF COVERAGE is hereby amended as <br />follows: <br />A. Covered Person is an Employee, Retiree, or Dependent who is an <br />eligible person enrolled in the Plan. <br />D. Newborn children are covered automatically at birth for thirty-one <br />(31) days. For coverage to continue beyond thirty-one (31) days, <br />the Employee or Retiree must notify the Employer of the birth and <br />pay any required contribution if it affects his contribution level. <br />If such notification and contribution do not occur, coverage will <br />terminate at the end of the thirty-one (31) days following birth. <br />A claim for maternity expenses is not considered as notification to <br />the Employer for coverage of a newborn to continue beyond thirty-one <br />(31) days. <br />Plan Document section TERMINATION OF COVERAGE LEAVE OF ABSENSE OF LAYOFF, <br />subsection B. 2. is here y amended as fo ows: <br />2. The coverage on the Dependents of any deceased Employee o.r Retiree <br />may continue to the end of a 180 day period from the date death oc- <br />curs and beyond, provided any required contribution is made, to a <br />maximum period from date of death equal to the total number of <br />months of active full-time service with the City of La Porte. <br />~i 6 <br />