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on the case with the parent who does not have access to health insurance for which the employer pays 80% or more. Example 1 Johnny, age 10, lives 50% of the time with his mom and 50% of the time with his dad. Both Johnny’s dad and mom have applied for BadgerCare Plus. Mom is employed but does not have access to health insurance coverage through her employer. Dad is employed and does have access to a family health insurance where his employer pays 81% of the monthly premium. Johnny can remain eligible on his mom’s case. If reasonably equivalent joint placement exists and both parents apply for BadgerCare Plus for the child and the income of either case requires that a premium be paid as condition of the child’s BadgerCare Plus eligibility, then the parents can choose in which case the child will receive BadgerCare Plus coverage. A premium requirement in one case does not preclude eligibility in the other parent’s case where no premium for the child would be owed. Example 2 Billy, age eight, lives 40% of the time with his dad and 60% of the time with his mom. Both parents are applying for BadgerCare Plus. In his mother’s case, the family income is 220% FPL and in his dad’s case, the family income is 180% FPL. Billy’s parents decide that Billy will be receiving his BadgerCare Plus coverage through Dad's case. If joint placement exists with a parent who lives in another state, the child must be with the Wisconsin parent at least 50% of the time in a month to qualify for BadgerCare Plus. 2.2.1.3 Dependent 18-Year-Old When an adult is eligible as a parent or caretaker because they are caring for an 18-year-old child and that child is the only child in the home, the child must meet both the following conditions for the parent or caretaker to be eligible for BadgerCare Plus as a parent or caretaker of a dependent 18-year-old: • Be enrolled in high school • Be expected to graduate high school before turning 19. The child does not need to be enrolled full time in high school in order to meet this definition of a dependent child. The 18-year-old remains eligible as a child until they turn 19, regardless of school enrollment or expected date of graduation. 2.2.2 Caretaker Relative A relative who cares for a child and the relative's spouse can be eligible for BadgerCare Plus as caretaker relatives. To be considered a caretaker relative of a child in the home, a person must first have a qualifying relationship to the child (under age 19) and the child must also be under the care of that relative. The relative may or may not be legally responsible for the child. Any of the following is a qualifying relationship for a caretaker relative: • Stepparent (when the parent is deceased or divorced/separated from the stepparent) • Biological full or half sibling, legally adopted, or stepsibling

Grandparent, aunt or uncle, first cousin, nephew or niece, or any preceding generation denoted by the prefix grand-, great-, or great-great (including those through adoption)