Dependent Verification
When you add a dependent to your coverage or complete a qualifying life event, you may need to provide documentation. This page lists what's required. Looking for the life events themselves and the 30-day deadline? See Life Event Changes.
Dartmouth Benefits Office
Phone: (603) 646-3588
Human.Resources.Benefits@dartmouth.edu
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Dependent Required Documentation Event Required Documentation
Dependent Required Documentation
When adding a dependent for the first time to medical, dental, and/or VSP vision coverage, upload verification documentation for each individual.
Upload your verification documents in FlexOnline, using Upload Verification Documents in the main menu.
Vital records request. It can take 4 to 8 weeks for vital records to be processed in some states and countries. Order your documentation early in the verification process to make sure you receive it in time.
Photocopying vital records. Some states and county clerk offices prohibit the copying of vital records (for example, Florida, Pennsylvania, and Wisconsin). Dependents in these states should request a non-certified vital record for the verification.
Spouse
Provide one of the following:
- Government-issued marriage certificate
- Most recently filed federal tax return with both your name and your spouse's name
Child(ren)
Provide one of the following:
- Most recently filed federal tax return with your child's name
- Government-issued birth certificate or hospital birth record
- Adoption certificate and/or placement agreement
- Document of legal guardianship
- Custody agreement
- State of New Hampshire Parent Notice
Having trouble getting one of these documents before your deadline? Contact the Benefits Office at (603) 646-3588 or Human.Resources.Benefits@dartmouth.edu.
Event Required Documentation
When completing a qualifying life event, you may be required to provide verification of the event.
Upload your verification documents in FlexOnline, using Upload Verification Documents in the main menu.
| Event | Documentation required |
|---|---|
| New hire, rehire, or newly benefit eligible | When adding a spouse or dependent child, see Dependent Required Documentation above. |
| Birth | Government-issued birth certificate, hospital birth record, or State of New Hampshire Parent Notice. |
| Marriage | Government-issued marriage certificate. |
| Adoption or legal guardianship | Adoption certificate and/or placement agreement, or a document of legal guardianship. |
| Divorce | A copy of your divorce decree, or the page showing the date and signatures. |
| You or a dependent loses eligibility for outside coverage | A document on official letterhead from the employer, Medicaid/CHIP, the public health care exchange, Medicare, or similar, showing the type of coverage lost, the dependent(s) who were covered (if applicable), and the date the coverage ended. |
| You or a dependent gains eligibility for outside coverage | A document on official letterhead from the employer, Medicaid/CHIP, the public health care exchange, Medicare, or similar, showing the type of coverage gained, the dependent(s) being covered (if applicable), and the date the coverage began. |
| Moving to or from the US | Contact the Benefits Office at (603) 646-3588 or Human.Resources.Benefits@dartmouth.edu to discuss. |
| Health Savings Account (HSA) election change | No documentation required. |
| Open Enrollment | Event verification is not required when making elections during Open Enrollment. Dependents who have not yet been covered under a Dartmouth medical, dental, or vision plan may need to be verified. See Dependent Required Documentation above. |
Having trouble getting one of these documents before your deadline? Contact the Benefits Office at (603) 646-3588 or Human.Resources.Benefits@dartmouth.edu.
Need help? Contact Benefits | Life Event Changes | New to Benefits
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