Who are Eligible Dependents?
Dependents eligible for Medical, Dental, and/or Vision Plans include your:
- Legally married spouse (opposite or same gender);
- Employee children under age 26; including natural children, stepchildren, and legally adopted children, regardless of marital status; and children for whom you are required to provide health coverage, under a Qualified Medical Child Support Order;
- Unmarried or married employee children of any age, who are incapable of self-support and who became mentally or physically handicapped before the limiting age of 26, and are dependent on you for over half of their maintenance and support.
Note: Employee must elect coverage to enroll dependents.
Changes to Eligible Spouse Rule Effective July 1st, 2025*
Effective for the 2025 – 2026 Plan Year, your spouse can be enrolled in either the PennCare PPO or PennCare HDHP medical plans as primary coverage regardless of coverage offered through their employer.
Dependent Eligibility Verification
ADP Dependent Verification Services will verify all dependents that coverage has been elected for.
LG Health reserves the right to verify the eligibility qualifications of any dependent(s) submitted during an enrollment offering.
