A A Email Print Share

Dependent Verification

Healthcare Reform now entitles children up to age 26 to participate in their parents’ health plan. The children can be married and do not have to live at home, be full time students, or be claimed on their parents’ taxes to be eligible for benefits. Eligibility ends on the last day of the month in which the child turns 26.

Please note that the eligibility requirements for Tuition Remission and Tuition Exchange have not changed.

Please see below for full details.

Who could be considered my legal dependent for Medical, Dental, Vision, and Dependent Life Insurance Benefits?

1.  Legally married spouse as demonstrated with a marriage certificate.

2.  Children under the age of 26 including:

  • Natural child. Employees will be required to provide a copy of the front and back of the child’s certified birth certificate issued from the Department of Vital Statistics.
  • Stepchild. Employees will be required to provide a copy of child’s certified birth certificate issued from the Department of Vital Statistics, a certified marriage certificate.
  • Legally adopted child or child placed in anticipation for adoption. The term 'placed for adoption' means the assumption and retention by the employee of a legal obligation for total or partial support of the child in anticipation of adoption of the child and the child must be available for adoption and the legal adoption process must have commenced.  Employees will be required to provide a copy of the court order specifying legal custody or a copy of the certified adoption papers, or a copy of the court order specifying legal custody, and a certified copy of the front and back of the revised birth certificate issued from the Department of Vital Statistics.
  • Child who qualifies for benefits under a Qualified Medical Child Support Order.  Employees will be required to provide a copy of the Support Order.
  • Child for whom you have legal guardianship under a court order and the child lives with you. Employees will be required to provide a copy of the court order. Due to the expiration of legal guardianship at the age of 18, the University will permit the previously documented legal guardianship to be used as proof of eligibility purposes. The employee must be able to document legal guardianship for five continuous, consecutive years prior to the child turning 18 (i.e., between the ages of 13 to 18) to be considered eligible. Special consideration may be provided if an unusual circumstance resulted in a break in the guardianship between the ages of 13 to 18 if the employee can prove the guardianship was entered into for a minimum of ten years.
  • Your mentally or physically disabled adult dependent children who are incapable of self sustaining employment by reason of the disability, live with you and who are primarily dependent on you for support and maintenance (you must provide appropriate documentation) provided that the child was disabled prior to age 26 and coverage under the plan commenced prior to the child's 26th birthday. The Plan Administrator may require proof of the child's total disability and dependency. The Plan Administrator reserves the right to have such dependent examined by a Physician of the Plan Administrator's choice, at the Plan's expense, to determine the existence of such incapacity.

Who could be considered my legal dependent for Tuition Benefits?

1.) Legally married spouse as demonstrated with a certified marriage certificate

2.) Children under the age of 25 who live with you during non school times, are claimed as a dependent on your taxes, are full time students, not married, and are not employed full time. This includes:

  • Natural child. Employees will be required to provide a copy of the front and back of the child’s certified birth certificate issued from the Department of Vital Statistics.  If applicable a complete copy of divorce decree, parenting plan, and child support order may also be required.
  • Stepchild who lives with you. Employees will be required to provide a copy of child’s certified birth certificate issued from the Department of Vital Statistics, a certified marriage certificate, and a complete copy of the appropriate divorce decree, parenting plan, and child support order.
  • Legally adopted child or child placed in anticipation for adoption who lives with you (the term placed for adoption means the assumption and retention by the employee of a legal obligation for total or partial support of the child in anticipation of adoption of the child and the child must be available for adoption and the legal adoption process must have commenced).  Employees will be required to provide a copy of the court order specifying legal custody or a copy of the certified adoption papers, or a copy of the court order specifying legal custody, and a certified copy of the front and back of the revised birth certificate issued from the Department of Vital Statistics.
  • Child for whom you have legal guardianship under a court order and who lives with you. Employees will be required to provide a copy of the cour order. Due to the expiration of legal guardianship at the age of 18, the University will permit the previously documented legal guardianship to be used as proof of eligibility for Tuition Remission purposes. The employee must be able to document legal guardianship for five continuous, consecutive years prior to the child turning 18 (i.e., between the ages of 13 to 18) to be considered eligible for the Tuition Remission. The child must continue to be claimed on the employee's income tax while utilizing the Tuition Remission. Special consideration may be provided if an unusual circumstance resulted in a break in the guardianship between the ages of 13 to 18 if the employee can prove the guardianship was entered into for a minimum of ten years. Documentation will be required before the remission can be approved.

 

Dependent Verification Frequently Asked Questions