- Eligibility
- Who is Eligible?
All individuals
represented by AFSCME District Council 47 on whose behalf
contributions are submitted by their employer to the Fund, their
spouses or
qualified domestic partners and all unmarried dependent children
(See Section
B) are eligible for coverage. In addition, employees of AFSCME
District Council
47-related entities on whose behalf contributions are submitted
by the employ-
ers to the Fund, their spouses and all unmarried dependent children
as set forth
in Section B are also eligible for coverage. Retirees, who are
retired on or
before December 31, 1998 are entitled to benefits under this plan
for three (3)
years from the date of their retirement from the City of Philadelphia
and other
Employers. Retirees who retire on or after January 1, 1999 are
entitled to mod-
ified benefits for eighteen (18) months from the date of retirement.
Retiree cov-
erage does not extend to dependents.
- Dependent
Any persons with
the following relationship to the Member are covered under
the Plan:
(1) A spouse residing
in the same legal residence with the Member.
(2) A qualified
domestic partner, who has registered with the District
Council 47
Health and Welfare Fund, residing in the same legal residence as
the Member.
(3) An unmarried
child (including adopted, step and foster children) under
18
years of age (under 23 years of age if a full-time student) who
has the same
legal residence as the Member or is dependent upon the Member for
support
and maintenance.
(4) Any child of
the Member who is handicapped by reason of mental retarda-
tion or physical disability and is incapable of self-sustaining
employment,
whether or not such child has the same residence as the Member
and/or is
dependent upon the Member for support and maintenance.
(5) Any member
of the immediate family of the Member or dependent who
is
handicapped or physically disabled in any other manner such that
s/he is inca-
pable of self-sustaining employment by reason of such disability
and is depen-
dent upon the Member or his Dependent for support and maintenance.
Dependents of retirees
are ineligible for coverage under the Plan.
Where any likelihood
of a conflict of interest with the Member exists, the Mem-
ber must consent in writing to the provision of services to the
Dependent.
If a possible conflict
of interests exists between a Member and a Dependent,
the Plan Attorney may provide legal services to the Member but
not the Depen-
dent. For conflicts between two Members, see General Information,¶ 7. |
