Dependent Verification of Eligibility

When you first enroll, or if you change coverage mid-year due to a qualified IRS family status change, you are required to provide documentation substantiating the eligibility of your dependent(s) within 31 days of the change or enrollment. If documentation is not received within 31 days, a letter requesting the documentation within a given deadline will be mailed to you.

Events which require documentation to support the change include:

• Spouse with a last name different than yours

–  Document(s): marriage certificate OR joint tax return (current or previous year only).

• Child with a last name different than yours

–  Document(s): birth certificate AND court document. The tax return for the parent claiming the child may be submitted instead of a court document (current or previous year only).

• Dependent child up to age 26

–  Document(s): birth certificate AND the parent’s tax return claiming the child (current or previous year only).

• Same Sex Domestic Partner (SSDP)

–  Document(s): Affidavit of Domestic Partnership and one of the following — joint bank account statement, joint utility bill, mortgage/lease/rental agreement, copies of your and your SSDP’s Georgia driver’s licenses showing common address.

REMINDER: You must provide the documents listed above to the Benefits Department within 31 days from your initial election or mid-year family status change if one of the above situations applies to you and your family. If documentation is not received in a timely manner, the election/change requested will not be processed and the affected dependents will not be covered under Emory’s health plans. Legible copies of required documents are acceptable. Documentation must be in English.