HCM OAKS User Group

Updates to Dependent Eligibility Requirements and Documents Checklist Mary Ellis, Benefits Manager August 24, 2010

Dependent Eligibility Information

Available on the Benefits web site

Click on “Eligibility Requirements”

See “Eligibility Requirements” page for employees and dependents

Scroll down to see “Dependent Eligibility” section

Updates to Eligibility Requirements: Students HB1 Disenroll

Michelle’s Law – Additional explanation added: Available for a dependent child who is enrolled as a student in the health plan and who is on a medically necessary leave of absence from school Coverage continues until either 1 year after start of medically necessary leave or when student’s coverage would have otherwise ended This leave is processed by HCM Benefits, not the agency. Please refer cases to HCM. Unmarried Children Age 19 through 22: Student status

Terminology change from “HB1 dependent” to “HB1 child” Additional information on enrolling an HB1 child Employee must notify HCM Customer Service within 30 days of change in circumstance Employee can or call HCM Customer Service HCM Customer Service is required to provide information within 30 days HB1 Child

It is the employee’s responsibility to disenroll a family member who is no longer eligible for coverage. Disenroll ineligible dependent

Updates to Definitions and Required Documents for Eligibility Checklist: Spouses Students

For all dependents enrolled in any benefits plan, eligibility rules must be followed and required documents must be submitted on a timely basis.

See red “Click here” for Checklist

See Checklist

IRS e-File Signature Authorization PIN number Both spouses’ names and signatures Another option for spouse document

Jointly owned bank account, financial account, or utility bill listing both spouses at same address Bank statement, financial account statement, or utility bill listing employee AND a second bank statement, financial account statement, or utility bill listing the spouse, both documents with the same address Another option for spouse document

Reminder: Marriage Certificate The document certified by the court This is not the “souvenir” certificate issued by the pastor Spouse Document

For a student subject to Michelle’s Law on medically necessary leave of absence beginning on or after 7/1/2010: Medical documentation Note: Please refer Michelle’s Law inquiries to HCM Benefits. Another option for student 19 to 22 years of age

Questions?