Dependent & Event Verification

Dependent Required Documentation

When adding a new dependent to medical or dental coverage, the following documentation will be required.

Spouse

• Marriage Certificate (from town or city)

Child

• Birth Certificate
• Hospital Issued Certificate
• Court Documents (Proof of adoption or legal guardianship)

Event Required Documentation

When completing a qualified life event, you may be required to provide proof of the event.

New Hire Event - Required

• Adding a Spouse or Dependent Child please refer to Dependent Required Documentation above

Marriage - Required

• Marriage Certificate (from town or city)

Birth/Adoption/Placement for Adoption - Required

• Birth Certificate
• Hospital Issued Certificate
• Court Documents (Proof of adoption or legal guardianship)
• State issued Parent Notice

Divorce

• No documentation required

Employee and/or Dependent Loses Eligibility for Outside Coverage - Required

• Coverage Cancellation Notice
• Confirmation Statement that Includes End Dates of Outside Coverage

Employee and/or Dependent Gains Eligibility for Outside Coverage - Required

• Copy of Insurance Card that includes coverage start date
• Confirmation Statement that Includes Start Dates of Outside Coverage
• Document Showing Other Coverage with Start Dates

Health Savings Account

• No documentation Required

Open Enrollment

• Documentation is not required for the event, only when adding new dependents
• Adding a new spouse or dependent, please refer to Dependent Required Documentation above