Document Requirements
To understand which documents are required to prove dependent eligibility, please review each document listed next to the dependent(s) relationship on your Documentation Checklist mailed to you by Consova. The additional information below describes what documentation will be considered valid for the purpose of this verification.
Spouse
Plan Definition
- Legal Spouse
- Common law and same sex marriages when recognized by the state
legally separated or divorced spouses are not eligible for coverage
Document Requirements
Copy of marriage certificate or certification of common law registered with the county or state.
AND
A copy of page one through the signature line of your Jointly filed Federal Tax return from the most recent Tax season or both of your Tax returns if you file separately. Please black out the first five digits of any Social Security Numbers and any IRS Identity Protection PIN's. Note: If you and/or your spouse file head of household or single, please contact (866) 430-1268 for alternate documentation options to be submitted in addition to the tax return.
**If you are adding a dependent due to a family status change (marriage, birth of a child, spouse lost other coverage), we will need proof of Qualifying Event and date of Qualifying Event. Please contact Consova to determine appropriate documentation needed.
Domestic Partner
Plan Definition
- Your eligible, unrelated same-sex domestic partner.
Document Requirements
Copy of the domestic partner affidavit (signed by you and your partner)
AND
Proof of dependency as evidenced by a copy of two of the following documents:
- Proof of shared residence via joint mortgage statement or rental agreement
- Automobile title or registration showing joint ownership of vehicle
- Joint checking, bank or investment account statement
- Joint credit account statement
- Designation of the Domestic Partner as durable power of attorney or health care proxy
- A will and/or life insurance policy which designates the other as primary beneficiary
Please note: Proof of dependency documents need to be dated within 60 days prior to the date of this letter and insurance and medical-related documents will not be accepted as a proof of dependency.
**If you are adding a dependent due to a family status change (marriage, birth of a child, spouse lost other coverage), we will need proof of Qualifying Event and date of Qualifying Event. Please contact Consova to determine appropriate documentation needed.
Children age 26 and under
Plan Definition
- Your natural child, legally adopted child, or child in the process of being adopted;
- Stepchild;
- A grandchild or foster child living with you whom you have legal guardianship of; or
- A child who is the subject of a Qualified Medical Child Support Order (QMCSO) or court order indicating you have to provide health care
Document Requirements
A copy of the following documents (varies by the relationship of the child to the Employee):
- Natural child or legally adopted child: State or county issued issued birth certificate showing employee's name or signed court order.
- Stepchild: State or county issued birth certificate showing parents' names, copy of your Marriage Certificate, and copy of your jointly filed federal tax return from the most recent tax season.
- Child whom you have legal guardianship: Signed Court Order and your federal tax return from the most recent tax season claiming the child as a dependent.
- A child who is the subject of a Qualified Medical Child Support Order (QMCSO) or court order indicating you have to provide health care: Signed Court Order IF no current QMCSO/Court Order on file.
Please note: An unmarried disabled child aged 26 or over may be eligible provided the disability occurred before age 26, he/she was enrolled in the plan before age 26, and the plan administrator has approved the disability.
**If you are adding a dependent due to a family status change (marriage, birth of a child, spouse lost other coverage), we will need proof of Qualifying Event and date of Qualifying Event. Please contact Consova to determine appropriate documentation needed.
panel 4 header
panel 5 header
panel 5 content