|
Dependents |
Documentation Required |
|---|---|
|
Spouse |
Copy of marriage certificate. If previously married, death certificate or divorce decree. |
|
Removal of Spouse/Child |
None at Open Enrollment. Court decree within 31 days of decree during the contract year. |
|
Natural Child(ren) |
Child’s birth certificate (showing the parent-child relationship to employee/retiree and/or spouse). |
|
Adopted Child(ren) |
Placement papers signed by the courts. |
|
Disabled Child |
Physician verification of permanent disability. |
|
Foreign Adoptions |
Adoption papers signed by the courts; visa showing date of entry to United States. |
|
Stepchild(ren) |
Child’s birth certificate (showing parent-child relationship with employee/retiree’s spouse); copy of marriage certificate. |
|
Court-Ordered Support |
State affidavit; copy of signed court order requiring employee/retiree to provide support for health coverage. |
|
Guardianship |
Court-ordered guardianship deemed permanent for insurance purposes. |
|
Domestic Partner |
City of Atlanta Affidavit of Financial Reliance (notarized) within 31 days of approval. |
|
Termination of Domestic Partner |
None at Open Enrollment; City of Atlanta Notice of Termination within 31 days of termination during the contract year. |
Social Security number and date of birth must be provided for all dependents. Failure to submit the dependent’s Social Security number will result in termination/denial of coverage (exceptions: newborns age six months or less).
Documentation also applies to life insurance coverage.
No documentation is required at Open Enrollment to delete a dependent.
All documentation should contain the employee’s name and Social Security number.
