Dependent & Event Verification

Dependent Required Documentation

Vital Records Request:  It can take 4-8 weeks for vital records to be processed in some states and countries.  Order your documentation early in the varification process to ensure receipt.

Photocopying Vital Records:  Some states and county clerk offices prohibit the copying of vital records (e.g. Florida, Penyslvania, Wisconsin, etc.).  Dependents in these states should request a non-certified vital reord for the verification.

When adding a dependent for the first time to medical, dental and/or VSP vision coverage, please upload verification documentation for each individual:

Spouse

  • Government issued Marriage Certificate
  • Most recent federal tax return with both your name and your spouse's name

Child(ren)

  • Most recent federal tax return with your child's name
  • Goverment or Hospital issued Birth Certificate
  • Adoption Certificate/Placement Agreement
  • Document of Legal Guardianship
  • Custody Agreement
  • State of New Hampshire Parent Notice

If you are having trouble obtaining one of hte above documents within your deadline date, please contact the Benefits office at 603-646-3588 or by email at Human.Resources.Benefits@dartmouth.edu

Event Required Documentation

When completing a qualified life event, you may be required to provide verification of the event.

New Hire/Rehire/Newly Benefit Eligible

  • When Adding a Spouse or Dependent Child please refer to Dependent Required Documentation above

Birth

  • Government-Issued Birth Certificate
  • Hospital Birth Record
  • State of New Hampshire Parent Notice

Marriage

  • Government-Issued Marriage Certificate
  • Most recent federal tax return with both your name and your spouse's name

Adoption/Legal Guardianship

  • Adoption Certificate
  • Placement Agreement

Divorce

  • No documentation required

Employee and/or Dependent Loses Eligibility for Outside Coverage

  •  A document on official letterhead from employer, Medicaid/CHIP, the public health care exchange, Medicare, etc. indicating type of coverage lost, dependent(s) who were covered (if applicable) and the date the coverage ended.

Employee and/or Dependent Gains Eligibility for Outside Coverage

  •  document on official letterhead from employer, Medicaid/CHIP, the public health care exchange, Medicare, etc. indicating type of coverage gained, dependent(s) were are being covered (if applicable), and the date coverage began.

Moving to/from the US

Health Savings Account

  • No documentation Required

Open Enrollment

  • Event Verification Documentation is not required when making elections for open enrollment, however dependents may need to be verified if they have not yet been covered under a Dartmouth medical, dental or vision plan. 

If you are having trouble obtaining one of the above documents within your deadline date, please contact the Benefits office at 603-646-3588 or by email at Human.Resources.Benefits@dartmouth.edu

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