All employees and retirees who elect to enroll their spouse or dependent children in the District's group health plan (medical, dental or vision) are required to provide documentation verifying their dependent's eligibility for coverage under the District's group health plan. Dependent verification requirements apply to all current employees/retirees, as well as employees/retirees experiencing a mid-year qualifying event.
To verify your dependents, you must submit the required documentation as defined in the Dependent Verification Document Chart located under the Dependent Verification Forms button below.
As an employee/retiree enrolling your dependents (spouse or dependent child) in the District’s group health plan (medical, dental or vision), you are required to provide documentation for each covered dependent. It is your responsibility to ensure that your dependent meet, and continue to meet, the eligibility requirement.
The following dependents are eligible for medical, dental and vision coverage:
You must submit the required documents by the close of business on the final date as defined below:
You are required to notify CBIZ within 30 days of a change in your marital status or a change in dependent’s status. Failure to notify CBIZ may result in you receiving a benefit under the group health plan that your covered dependents are not eligible to receive. Should this occur you will be required to repay the Board any premiums due or benefits received that you were not entitled to receive.
You may request a copy of your tax return transcript from the IRS at www.irs.gov/individuals/get-transcript or by calling the IRS at (800) 908-9946.
Submitting Documentation: