Page 4 - Allegacy 2017 booklet 8.5x11

Allegacy Benefit Solutions Page 4

Dependent Eligibility

MEDICAL

 Legal spouse or *domestic partner

 Children up to age 26, regardless of student and/or

marital status.

DENTAL AND VISION

 Legal spouse or *domestic partner

 Children up to age 26, regardless of student status

DEPENDENT LIFE (BASIC AND VOLUNTARY)

 Legal spouse or *domestic partner

 Children up to age 19 or up to age 26, if a full-time

student.

*Domestic partner affidavit is required

To the maximum extent permitted by law, in no event shall Allegacy
Business Solutions or Allegacy Federal Credit Union (AFCU) be liable for
any special, incidental, indirect, or consequential damages
whatsoever (including, without limitation, damages for ERISA plan
violations, loss or impairment of benefits or benefit eligibility, or any
other type of loss) arising out of the use of this publication. This
information is intended only as an overview of benefits. For specifics to
your group benefits, please consult your Summary Plan Description.