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Eligibility Requirements for Dependent Coverage.A family member of an Employee will become eligible for <br /> Dependent coveraje on the first day that the Employee is eligible for Employee coverage and the family member <br /> satisfies the requirements for Dependent coverage. <br /> At a�y time,the Plan may require proof that a Spouse or a child qualifies or continues to qualify as a Dependent as <br /> defined by this Plan. <br /> FUNDING <br /> Cost of the Plan.City of Decatur pays the entire cost of Employee coverage under this Plan.City of Decatur shares <br /> the cost of Dependent coverage under this Plan with the covered Employees. <br /> The level of any Employee contributions is set by the Plan Administrator.The Plan Administrator reserves the right <br /> to change the level of Employee contributions. <br /> PRE-EXISTING CONDITIONS <br /> NOTE: The length of the Pre-Existing Conditions Limitation may be reduced or eliminated if an eligible <br /> person has Creditable Coverage from another health plan. <br /> An eligible person may request a certificate of Creditable Coverage from his or her prior plan within 24 <br /> months after losing coverage and the Employer will assist any eligible person in obtaining a certificate of <br /> Creditable Coverage from a prior plan. <br /> A Covered Person will be provided a certificate of Creditable Coverage if he or she requests one either <br /> before losing coverage or within 24 months of coverage ceasing. <br /> If, after Creditable Coverage has been taken into account,there will still be a Pre-Existing Conditions <br /> Limitation imposed on an individual,that individual will be so notified. <br /> Covered charges incurred under Medical Benefits for Pre-Existing Conditions,other than pregnancy, are not payable <br /> unless incurred 365 consecutive days,or 546 days if a Late Enrollee,after the person's Enrollment Date.This time <br /> may be offset if the person has Creditable Coverage from his or her previous plan. <br /> A Pre-Existing Condition is a condition for which medical advice,diagnosis,care or treatment was received within <br /> six months prior to the person's Enrollment Date under this Plan. Genetic Information is not a condition.Treatment <br /> includes receiving services and supplies,consultations, diagnostic tests or prescribed medicines.In order to be taken <br /> into account,the medical advice,diagnosis,care or treatment must have been recommended by,or received from,a <br /> Physician. <br /> The Pre-Existing Condition does not apply to pregnancy,to a newborn child who is covered under this Plan within 31 <br /> days of birth, or to a child who is adopted or placed for adoption before attaining age 18 and who, as of the last day of <br /> the 31-day period beginning on the date of the adoption or placement for adoption,is covered under this Plan. A Pre- <br /> Existing Condition exclusion may apply to coverage before the date of the adoption or placement for adoption. <br /> The prohibition on Pre-Existing Condition exclusion for newborn,adopted,or pre-adopted children does not apply to <br /> an individual after the end of the first 63-day period during all of which the individual was not covered under any <br /> Creditable Coverage. <br /> 5 <br />