0705.60 Dependent Coverage for Medical, Dental and/or Vision

Eligible Dependents

In an important effort to control healthcare plan costs, the University of Maine System verifies that dependents enrolled in medical, dental or vision plans meet the eligibility guidelines. In order for your dependent(s) to receive benefits under UMS health plans, action is required by you to submit documentation of their eligibility. You have 31 days from the effective date of your job or family event to sign up for benefits and provide proof of eligibility for any dependents enrolled in medical, dental or vision plans.

As a reminder, eligible dependents are defined in your (plan booklet) as:

• Your lawful spouse
• Your qualifying Domestic Partner (subject to Imputed Income on which IRS regulations require you to be taxed).
• Your child up to age 26; coverage may be extended to a child of any age who is incapable of self-support due to a mental or physical disability.

A child is defined as your natural biological child; a stepchild; child of your qualifying domestic partner; legally adopted child or child placed with you for adoption; a visiting foreign student who is living with you in a parent-child relationship and 50% or more dependent on you for financial support; a grandchild living with you in a parent-child relationship; a child for whom you or your spouse has been appointed the legal guardian; or a child for whom you are required to provide health insurance by a Qualified Medical Child Support Order.

Required Documents

All required documents MUST contain the date (including year), participant’s name, and dependent's name. Personal information such as Social Security Numbers, account numbers, and financial information may be marked out for confidential purposes.

Please include a copy of the Verification Form signed and dated with all documentation submitted.

FOR SPOUSE:

• A copy of your marriage certificate
• And one of the following:
  • A copy of the front page of your most recently filed federal tax return confirming this dependent is your spouse, OR
  • A document dated within the last 60 days showing that your spouse resides at the same address you do, such as a recurring monthly household bill or statement of account. The document must list your spouse's name, the date, and your mailing address, and must be sent to your spouse. Healthcare bills will not be accepted as proof of eligibility as healthcare coverage is being verified.
• A copy of the verification form found here.

FOR DOMESTIC PARTNER:

• A University Domestic Partnership Certification AND
• A document dated within the last 60 days showing that your domestic partner resides at the same address you do, such as a recurring monthly household bill or statement of account. The document must list your domestic partner's name, the date, and your mailing address, and must be sent to your domestic partner. Healthcare bills will not be accepted as proof of eligibility as healthcare coverage is being verified.
•  Imputed Income could cost you approximately an additional $300 to $400.00 in tax per month when you add a domestic partner to your health benefits–visit 0705.50 Domestic Partner Benefits
• A copy of the verification form found here.

FOR CHILDREN UP TO AGE 26 AND DISABLED CHILDREN:

• A copy of the child’s birth certificate/hospital birth record or adoption certificate naming you or your spouse as the child's parent. Please note the document must list the first and last names of the child and parent(s). OR
• A copy of the court order naming you or your spouse as the child’s legal guardian.
• A copy of the verification form found here.

Note for a stepchild or your domestic partner’s child: If you are covering a stepchild you must also provide documentation of your current relationship to your spouse or domestic partner as requested above.

Checklist to Complete Enrollment & Dependent Verification:

• Identify and enroll your dependents by adding your dependents in MaineStreet.Select each coverage option and enroll each dependent you wish to be covered.
• Complete the enrollment process by selecting the second Submit button on the“Submit Benefit Choices” screen.
• Complete the Dependent Relationship Verification Form and submit with appropriate proof of dependent relationship within 31 days of your event date. You may fax completed form with documentation to 1-207-561-3454, or upload them to the form on the right!
• The UMS Employee Benefits Center will verify your dependent’s status upon receipt of documentation. You will be notified if your documentation cannot be verified.