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7738-IMPORTANT NOTICE REGARDING DEPENDENT INSURANCE COVERAGE ENROLLMENT PROCEDURES
Posted for Business Affairs by Michael Mingus on Apr, 16 2012
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IMPORTANT NOTICE REGARDING DEPENDENT INSURANCE COVERAGE ENROLLMENT PROCEDURES

Effective immediately, employees who will be making changes to dependent insurance coverage must submit required documents within 31 days of a life event (e.g., annual enrollment, birth of child, marriage, divorce, death, etc.). The documents will be required regardless of whether the dependent has previously been on any UT System insurance. Employees contemplating making changes should make sure that the necessary documents are available when making a change to dependent insurance coverage.

Required Documentation for Dependent Enrollment

Type of Dependent

Required Documents

Spouse

· Marriage certificate of Subscriber and Spouse; OR

· Common Law Marriage Affidavit

Biological Child

·Birth certificate of child proving relationship to Subscriber for Dependent Enrollment

Stepchild

· Birth Certificate of Child AND

· Marriage Certificate of Subscriber and Biological Parent/Spouse

Grandchild

· Birth Certificate of Grandchild proving relationship to Subscriber; AND

· Birth Certificate of Biological Parent; AND

· Most recent tax return indicating child is the financial dependent of Subscriber

Adopted Child

· Valid Court Order of Adoption; OR

· Valid Pre-Adoption Placement Order issued by a Licensed Child Placement Agency; OR

· Valid Court Order naming Subscriber as Managing Conservator of the Child

Guardianship

Valid Court Order naming Subscriber as the Child's Guardian

Conservatorship

Valid Court Order naming Subscriber as the Child's Conservator

Foster Child

Valid Court Order establishing a parent-child relationship between Subscriber and Foster Child

Incapacitated Over Age Dependent

· Application For Coverage of Incapacitated Over Age Dependent Form; AND

· Supporting Medical Records less than one year old

Gestational Agreement

· Valid Court Order giving Subscriber Legal Custody

IMPORTANT: A Power of Attorney is not adequate legal documentation for establishing a Dependent relationship.

These requirements were established for the entire UT System to assure that uniform approved proof of eligibility documents are on file for all dependents on our insurance coverage.