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ADOPTION REIMBURSEMENT

The College provides a reimbursement up to $5,000 per calendar year for fees associated with the cost of adopting a child. This benefit is available to regular benefits-eligible employees.

FORMS:

Request for Adoption Expense Reimbursement form

DESCRIPTION OF BENEFIT:

•  The maximum reimbursement per adoption transaction per employee, per calendar year is $5,000.
•  This benefit is pro-rated for employees working less than full time.
•  Reimbursement requests may include services received within the current calendar year or during the prior calendar year.
•  If more than one child is adopted during a single adoption transaction, the maximum reimbursement is $5,000 for the calendar year.
•  Employee must request reimbursement using the Request for Adoption Expense Reimbursement form and provide appropriate supplementary documentation (e.g. must include both invoices and corresponding proof of payment).
•  Reimbursement is made in the employee's paycheck and can be paid in either a $5,000 lump sum or in smaller amounts as expenses are incurred

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INSTRUCTIONS:

•  Submit a completed Request for Adoption Expense Reimbursement form and appropriate supplementary documentation (e.g. must include both invoices and corresponding proof of payment)
•  All Adoption Requests (with supporting documentation) must be received no later than November 1st to guarantee reimbursement within the calendar year.
•  Send documents to the Benefits Office via email (scan), fax or mail

Email: Benefits.Human.Resources@Dartmouth.edu
Fax: (603) 646-1108
Mail: Health Benefits, Human Resources- Benefits Office (HB 6042) 7 Lebanon Street, Suite 203 Hanover, NH 03766

•  Keep copies of all documents for your files.
•  Materials will be reviewed. Provided that all documentation is accurate, once the request has been approved, the Benefits Office will send a confirmation email to the employee about expected reimbursement amount and timeline.
•  Incorrect or incomplete requests will cause delay in review and reimbursement.
•  Reimbursement will appear in the employee's paycheck under the following line item (Adopt Reimb.)

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IF YOU HAVE QUESTIONS:

A Health Benefits Administrator, is available to advise supervisors and employees on all aspects of the adoption reimbursement process.  Please contact the Human Resources Benefits office at (603) 646-3588 and ask to speak to a Health Benefits Administrator today.

Last Updated: 3/1/13