Custodial Care means non-medical care given to a Covered Person, such as administering medication and assisting with personal hygiene or other Activities of Daily Living, rather than providing therapeutic treatment and services. Custodial Care services can be safely and adequately provided by persons who do not have the technical skills of a covered health care provider. Custodial Care also includes care when active medical treatment cannot be reasonably expected to reduce a disability or improve the condition of a Covered Person. Deductible means an amount of money paid once per Plan Year by the Covered Person (up to a family limit, if applicable) before any Covered Expenses are paid by the Plan. The Schedule of Benefits shows the amount of the applicable Deductible (if any) and the health care benefits to which it applies. Dependent – see the Eligibility and Enrollment section of this SPD. Developmental Delays means conditions that are characterized by impairment in various areas of development, such as social interaction skills, adaptive behavior, and communication skills. Domestic Partner / Domestic Partnership means an unmarried person of the same or opposite sex with whom the covered Employee shares a committed relationship, who is jointly responsible for the other’s welfare and financial obligations, who is at least 18 years of age, who is not related by blood, who maintains the same residence, and who is not married to or legally separated from anyone else. Durable Medical Equipment means equipment that meets all of the following criteria: • It can withstand repeated use. • It is primarily used to serve a medical purpose with respect to an Illness or Injury. • It is generally not useful to a person in the absence of an Illness or Injury. • It is appropriate for use in the Covered Person’s home. A cochlear implant is not considered Durable Medical Equipment. Effective Date means the first day of coverage under this Plan as defined in this SPD. The Covered Person’s Effective Date may or may not be the same as his or her Enrollment Date, as Enrollment Date is defined by the Plan. Emergency means a serious medical condition, with acute symptoms that require immediate care and treatment in order to avoid jeopardy to the life and health of the person. Employee – see the Eligibility and Enrollment section of this SPD. Enrollment Date means: • For anyone who applies for coverage when first eligible, the date that coverage begins. • For anyone who enrolls under the Special Enrollment Provision, or for Late Enrollees, the first day coverage begins. ERISA means the Employee Retirement Income Security Act of 1974, as amended from time to time, and applicable regulations. Experimental, Investigational, or Unproven means any drug, service, supply, care, or treatment that, at the time provided or sought to be provided, is not recognized as conforming to accepted medical practice or to be a safe, effective standard of medical practice for a particular condition. This includes, but is not limited to: • Items within the research, Investigational, or Experimental stage of development or performed within or restricted to use in Phase I, II, or III clinical trials (unless identified as a covered service elsewhere); -119- 7670-00-413597