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Dependent Eligibility Verification

Affidavit of Electric current Marriage( Adobe PDF Document 133.41 KB )
Affidavit of Enrollee-Dependent Human relationship( Adobe PDF Document 235.21 KB )
Certification of Over-Historic period Dependent( Adobe PDF Document 151.08 KB )
Questions? Read our Frequently Asked Questions( Adobe PDF Document 136.09 KB )
Qualifying Status Change Matrix

To ensure accountability in the State Group Insurance program, effective July 1, 2020, the  People First Service Centre will be requesting documents as part of the Dependent Eligibility Verification process to confirm that an employee'due south newly added dependents are eligible for insurance coverage. This procedure applies to new hires, marriages, births, and other life events during the year as allowed by a qualifying status change (QSC) effect. All enrollees who add new dependents during these QSC events will receive the documentation request. Documentation requests will be generated through People Get-go and sent via email from the PeopleFirstNoReply@ngahosting.com email to the enrollee's notification email in People First. If the enrollee does not have a notification email, a letter of the alphabet will exist mailed to the employee's address on file.

If you neglect to ship sufficient documents in a timely manner, or if you submit documents that do not prove dependent eligibility, we volition terminate dependent coverage prospectively (i.east., the first day of the month following ineligibility determination).

Definition of an Eligible Dependent

As a reminder, an eligible dependent is divers every bit:

Your spouse — The person to whom you lot are legally married.

Your kid — Your biological child, child with a qualified medical support order, legally adopted child, or kid placed in the home for the purpose of adoption in accordance with applicable country and federal laws, through the stop of the agenda year in which he/she turns age 26.

Your stepchild — The child of your spouse, for equally long as you remain legally married to the child's parent, through the terminate of the calendar year in which he/she turns age 26.

Your foster kid — A kid that has been placed in your home by the Section of Children and Families Foster Intendance Program or the foster intendance program of a licensed private agency, through the end of the agenda twelvemonth in which he/she turns age 26.

Legal guardianship — A child for whom you have legal guardianship, in accordance with an Order of Guardianship, pursuant to applicable country or federal laws or a child for whom you are granted courtroom-ordered temporary or other custody, through the stop of the calendar year in which he/she turns age 26.

Your over-age dependent — After the cease of the calendar year in which he/she turns 26, through the cease of the calendar twelvemonth in which he/she turns thirty – if he/she is single, has no dependents of his/her own, is a resident of Florida or a total- or office-fourth dimension pupil, and has no other wellness insurance.

Your over-age dependent with a inability — Your covered child with intellectual or physical disabilities. This child may keep health insurance coverage subsequently reaching historic period 26 and while remaining continuously covered in a Country Group Insurance health programme, or the kid was over the age of 26 at the time of your initial enrollment. The child must be incapable of self-sustaining employment considering of the intellectual or physical disability, and be dependent on you for care and financial support.

Newborn child of a covered dependent —A newborn child born to a dependent while the dependent is covered nether the Programme. The newborn must have been added within sixty days of the nascency. Coverage may remain in outcome for upwardly to 18 months of age as long as the newborn's parent remains covered.

Children of police enforcement, probation, or correctional officers — Children of law enforcement, probation, or correctional officers who were killed in the line of duty, who are attending a higher or university beyond their 18th birthday.

Surviving spouse and dependents — The widow or widower of a deceased country officeholder, state employee, or retiree, if the spouse was covered as a dependent at the fourth dimension of death; or an employee or retiree who died before July one, 1979; or a retiree who retired before Jan 1, 1976, under any state retirement organisation who is not eligible for whatsoever Social Security benefits. Upon remarriage, the widow or widower is no longer considered a surviving spouse. A surviving spouse shall report remarriage within 60 days of the remarriage. The surviving spouse and dependents, including whatsoever eligible children of a surviving spouse, if any, must have been covered at the time of the enrollee'southward death and the coverage must have been continuous.

REQUIRED DOCUMENTS

All required documentsMUST contain the date (including yr), employee's name, and dependent's name.Personal information such equally income data listed on the taxation return transcript and social security information (except in the case of a disabled kid or a spouse if yous filed every bit Married Filing Dissever) may exist marked out for confidentiality purposes.

FOR SPOUSE:

  • If married less than 12 months and y'all and your spouse have not filed a federal income taxation render as married, you lot will demand to submit a copy of your authorities-issued matrimony certificate,OR
  • If yous and your spouse have been married for 12 or more months, a Tax Return Transcript of your well-nigh recently filed federal income tax return showing you filed equally married, either jointly or separately. The tax return transcript is the only official tape of the taxation return that yous filed with the IRS.  A copy of your taxation return (Grade 1040 or east-file documentation) will not be sufficient. The Form 1040 can be falsified and is not an official record of what was filed with the IRS.
  • You lot can asking a copy of your transcript from the IRS at www.irs.gov/individuals/get-transcript or by calling the IRS at 800-908-9946. Please submit Just the first page, showing yours and your spouse'southward names or the terminal four digits of their Social Security number and tax filing period. All other information should exist marked out. If you are unable to obtain your transcript, delight contact the Sectionalization of Land Group Insurance.

FOR CHILDREN UP TO Historic period 26:

  • For a child, stepchild, or adopted child: A re-create of the child's government-issued birth certificate or adoption certificate naming you lot or your spouse every bit the kid's parent. Please note the document must list the first and concluding proper noun of the kid and parent(s).
  • For a child in your custody or nether your guardianship: A copy of the courtroom order naming you or your spouse every bit the child's legal guardian or custodian.
  • For a foster kid: A re-create of the records showing you or your spouse every bit the dependent's foster parent.
  • For a newborn child of a covered dependent up to age 18 months:  A copy of the newborn's regime-issued nascence certificate listing your covered dependent every bit the nativity parent.

FOR UNMARRIED CHILDREN AGE 26 Upwards TO Age xxx*:

  • A copy of the kid's government-issued nascence document or adoption certificate naming yous or your spouse as the child'southward parent. Delight note the document must listing the first and last name of the child and parent(south);OR a copy of the court society naming you or your spouse as the kid's legal guardian or custodian;AND
  • A copy of the Certification of Over-Age Dependent Eligibility Form( Adobe PDF Document 219.30 KB ),AND
  • Ane of the post-obit documents:
    • A certificate confirming the child'south enrollment as a student in the current Spring, Summer, or Autumn semesters. The document must include the name of the child, the name of the school, and the schoolhouse term;OR
    • A bill or statement in the child'southward proper noun that is dated within the past 60 days and is mailed to the child at a Florida accost.

* If y'all are covering a stepchild or a child for whom your spouse has legal guardianship, yous must besides provide documentation of your current relationship to your spouse, every bit requested above.

FOR DISABLED CHILDREN Age 26 AND OLDER:

  • A copy of the child's authorities-issued birth certificate or adoption certificate naming you or your spouse equally the child'due south parent. Please note the document must list the first and last name of the child and parent(due south);OR a copy of the court order naming you or your spouse as the child'southward legal guardian or custodian,AND
  • A Taxation Return Transcript of your virtually recently filed federal tax return list:
    • The child's proper noun and the last four digits of the child'southward Social Security number;AND
    • The child as your tax dependent.

The tax return transcript can exist obtained from www.irs.gov/individuals/get-transcript  or past calling the IRS at 800-908-9946.

All documents must be submitted to People Start using one of the methods below:

Upload the dependent documentation directly in the People Outset system (recommended and fastest approach) – log in to People First at PeopleFirst.myflorida.com. Select the "Submit" icon in the peak right corner. Select the certificate blazon of "dependent documentation", and add the necessary comments regarding which dependent(s) the documentation is for, adhere the document(south), then select the Submit button; OR

Mail the documentation to People Starting time, P.O. Box 6830, Tallahassee, FL 32314.

Discover: As prohibited by the rules of the plan, the post-obit acts will be treated equally fraud or misrepresentation of material fact:

• Falsifying dependent information. • Falsely enrolling ineligible persons in coverage.
• Falsifying the occurrence of QSC events. • Falsifying dependent documentation.
• Falsely certifying ineligible persons equally eligible. • Falsifying QSC issue documentation.

If you lot have any questions, please call People First at 866-663-4735 and inquire to speak to the Dependent Verification Squad.