FWISD

Eligible Dependents means (1) Participant’s spouse; and all of Participant’s children, including step- children, legally adopted children, children for which Participant is the legal guardian, any of which are under twenty- six (26) years of age, and Participant’s children over age twenty-six (26) who suffer from a permanent and total physical or mental disability and where the Participant’s or Participant’s spouse has provided more than one half of the disabled child’s support in that Plan year; or (2) the definition of eligible dependent provided by the Master Policyholder for all other benefits offered by the Master Policyholder provided that said definition is more broad than (1) above and Master Policyholder provides a copy of same to Texas Legal. Notwithstanding the forgoing, an Eligible Dependent child may not be older than 26 unless the child has a disability.

By signature of this application, you hereby authorize Texas Legal to charge/draft your checking/savings account from the financial institute listed. This is a recurring monthly or recurring annual option. This authority is to remain in effect until Texas Legal receives written notification from you revoking the authorization, subject to the terms and restrictions provided in the Certificate of Coverage. This account will be drafted at the beginning of each month. Payment is due on the 1st of each month. Your account may not reflect the debit until the 2nd and later depending on the bank or credit union transactions or guidelines. Each financial institution establishes its own guidelines.