UAMS.EDU

Dependent Verification for Insurance Coverage

Dependent Verification for Insurance Coverage

Documentation must be provided if you wish to add a spouse, or child under the age of 26, to your health, dental or vision coverage.
  • Coverage can be added within one month (31 days max) of: 1) initial eligibility as a new hire, 2) a change in status to benefits-eligible, 3) a qualifying life event; or 4) during an announced open enrollment period, enrollment is effective Jan. 1 of the following year. Enrollment is not retroactive (exception for newborns). IMPORTANT: unless acceptable documentation is received, the dependent will not be enrolled. That means if you are adding coverage, you will be enrolled but not your dependent(s). All supporting documentation as described below must be submitted at the time of enrollment. Benefit enrollment forms to enroll dependents will not be accepted if documentation is not provided. Therefore, you may be required to recomplete forms for “employee only” coverage initially, with the option to revise your enrollment within 31 days. This certifies that all dependents covered under my health, dental or vision insurance are my legal dependents as defined below. I understand that insurance fraud is generally defined as the “intentional misrepresentation of material facts and circumstances to an insurance company to obtain payment that would not otherwise be made” and disciplinary action will be taken, up to and including termination, should this occur. In addition, I understand I will be held liable for any claims or fees incurred for the individual that is not a dependent.
    Attach fully legible photocopies only of the original documents. Commemorative certificates and un-recorded documents are NOT acceptable.
  • Drop files here or
    Accepted file types: pdf, jpeg, gif, png, xlsx, txt, doc, docx.
    Employees must upload a copy of the documentation that will used to verifiy spouse or dependents. You can scan all documents as one and upload here or upload individually below.