Dependent Eligibility Verification
Benefits elections must be made within 30 days of your start date or qualifying event. However, for any eligible dependent you elected to cover, you must submit documentation within 60 days of your benefits effective date to verify your dependent’s eligibility. Verifying eligibility helps UofL to ensure compliance with the health plan provision, and manage the increasing costs of health care. Submit copies (with employee name and EMPLID) to email@example.com or to the Human Resources office at 1980 Arthur Street.
- Spouses of covered UofL employees
- Qualifying adult
- Child(ren) ( natural children, step children, foster children, legally adopted children, and children placed for adoption) to the end of the calendar year in which they turn 26 even if they are married; not living with parents; attending school; not financially dependent on their parents; or eligible to enroll in their employer’s health plan.
- Child(ren) of the employee or the employee’s spouse of any age when such children are incapable of self-support because of a total and permanent disability; and
- Child(ren) age 26 and under for whom the employee is required to provide health care coverage under a qualified medical child support order (QMCSO), regardless of where the child resides or if the child is dependent upon the employee for support.
|Dependent Type||Required Documentation|
|Spouse||Marriage certificate and the first two pages of Federal Tax Return from your most recent tax return (with income and SSN information redacted). The tax return must include signatures or an e-file confirmation that includes a filing number. Or;
Marriage certificate and proof of joint ownership issued within the last six months (i.e. utility bill, mortgage statement, lease agreement, etc.)
Affidavit of a Qualifying Adult and;
Proof of joint ownership issued within the last six months (i.e. utility bill, mortgage statement, lease agreement, etc.)
|Biological Child||Birth Certificate|
|Adopted Child||Birth Certificate, Adoption Certificate; or Placement Agreement|
|Step-Child||Birth Certificate indicating your spouse as a parent and required documents to verify your spouse|
|Qualified Adult Child||Birth Certificate indicating your qualified adult as a parent and required documents to verify the qualified adult|
|Legal Ward||Birth Certificate and court ordered document of guardianship|
|Foster Child||Foster Care Letter of Placement|
|Disabled Child||Birth Certificate and Federal Tax Return within two years showing you have claimed the child|
Frequently Asked Questions
Do I need to submit originals?
No, please send copies and include employee name and EMPLID.
Can I use a birth certificate from the hospital where my child was born?
Yes, both government issued birth certificates and birth certificates from the admitting hospital that indicates the employee is a parent are accepted.
Can I mark out information on my tax return or other documents?
There may be information on your documentation that is not needed to verify your dependent’s eligibility, such as income information on your federal tax return or social security number. If you are uncomfortable sending this unrelated information, you can mark it out on the copy you submit. For any specific questions about what you can mark out and what is required on a document, call 852-6258 or email firstname.lastname@example.org.
How do I submit my documents?
Email copies to email@example.com or bring to the Human Resources office at 1980 Arthur Street.
What happens if I can’t locate these documents?
You have 60 days to provide these documents to verify your dependents. You can reach out to the issuing agency to request replacement documents, if they have been lost. If you are unable to provide the required documents after 60 days, your dependent will be removed effective on the 60th day.