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vi. Entitlement to or loss of Medicare eligibility for Retiree and/or <br />dependents. <br />- vii., Entitlenient to or loss -of Medicaid/Children's Health' Insurance <br />Program (CHIP) eligibility (60 days.allowed to. exercise this <br />HIPAA Special Enrollment Rights). <br />viii. Differences in the open enrollment periods between the City and <br />another employer affecting the Retiree's spouse or dependent. <br />h. Requests to add a new dependent must be received by the Human <br />Resources Department within 30 days of the event (60 days for <br />newborns/adoptions/ placement for adoption/entitlement to or loss of <br />Medicaid/CHIP). If the supporting documentation (example marriage <br />certificate, birth certificate etc.) is not readily available, the Retiree must <br />provide it as soon as it becomes available. The types of documentation <br />required to support the change in status will be determined by Human <br />Resources and communicated to the Retiree upon request for <br />enrollment. Once approved, the change will become effective the first <br />day of the month following receipt of the request, providing supporting <br />documentation is. provided. <br />Dependent children ages 26 - 30 are eligible for group health coverage. <br />Chapter 627.6562 of the Florida Statutes, stipulates that the child must <br />be unmarried without any dependents, a resident of the State of Florida <br />or a full-time or part-time student and is not provided coverage or is not <br />a covered person under °any other group health insurance policy or <br />individual health benefits plan, or is not entitled to benefits under Title <br />XVIII of the Social SecuritVAct. Retirees enrolling a new dependent child <br />age 26+ must provide supporting documentation that the child was <br />continuously covered by other creditable coverage without a gap in <br />coverage of more than 63 days. <br />3) Employees covered under a Collective Bargaining Agreement should refer to <br />the Collective Bargaining Agreement for additional benefits, procedures and <br />information relating to this policy. <br />CODING: Words std ker► are deletions, words underlined are additions. <br />503-1 Retirement Benefits - DRAFT 01172018sem <br />Page 6 of 6 <br />256 <br />369 <br />