Whenever you enroll dependents in your coverage, you’ll be asked to submit documentation to verify your dependents are eligible. You also need to provide documentation if you’re adding or removing a dependent after a life event. Read on to see which documentation is acceptable when you’re enrolling and what’s acceptable after a life event.
When Enrolling Dependents
When you first enroll dependents, you will be required to submit documentation within 75 days from the date of your event. The following documents are acceptable.
| Dependents | Supporting Documentation* |
|---|---|
| Spouse** | Government-issued marriage certificate |
| Biological Child | Government-issued birth certificate |
| Disabled Child | 1. Government-issued birth certificate and 2. Disabled Dependent Certification form. |
| Adopted Child | Placement for Adoption Agreement and/or Adoption Certificate signed by judge |
| Foster Child | Official, signed legal document placing the child under your foster care |
| Stepchild | 1. Government-issued birth certificate and 2. Marriage certificate for employee and child’s natural or adoptive parent |
| Legal Dependent Child | Copy of legal guardianship |
* If your documentation is pending, proceed with the life event enrollment within the 31 days and then upload the documentation once received. You have 75 days from the date of the life event to upload documentation.
** In jurisdictions where common law spouses are legally recognized, contact the Benefits Service Center to discuss the documentation required to verify a common law marriage.
Making Changes Due to a Life Event
If you are making changes — including adding or removing dependents from coverage — due to a life event, you will be required to submit documentation to the Plan Administrator within 75 days from the date of your event. The following documents are acceptable.
| Dependents | Supporting Documentation* |
|---|---|
| Marriage** | Government-issued marriage certificate |
| Birth | Government-issued birth certificate |
| Adoption | Placement for Adoption Agreement and/or Adoption Decree signed by judge |
| Fostering a Child | Official, signed legal document placing the child under your foster care |
| Acquisition of a Legal Dependent | Copy of legal guardianship |
| Divorce/Annulment | Court-issued divorce decree or legal annulment |
| Legal Separation | Legal separation agreement |
| Employee, Spouse or Dependent Gains Other Coverage | Letter verifying other coverage from insurance company |
| Employee, Spouse or Dependent Loses Other Coverage | – Letter from previous employer with coverage end date or – Letter from previous insurance verifying loss of coverage or – COBRA notification with coverage end date |
| Loss or Gain of CHIP or Medicaid Coverage | Letter verifying loss or gain of CHIP or Medicaid coverage from state agency or carrier |
| Death of Spouse or Dependent | Death certificate |
* If your documentation is pending, proceed with the life event enrollment within the 31 days and then upload the documentation once received. You have 75 days from the date of the life event to upload documentation.
** In jurisdictions where common law spouses are legally recognized, contact the Benefits Service Center to discuss the documentation required to verify a common law marriage.
