| Dependents | Documentation Required |
|---|---|
| For Spouse | Copy of marriage certificate. If previously married, death certificate or divorce decree. |
| For Removal of Spouse/Child | None at Open Enrollment. Court decree within 31 days of decree during the contract year. |
| For Natural Child(ren) | Child’s birth certificate (showing the parent-child relationship to employee/retiree and/or spouse). |
| For Adopted Child(ren) | Placement papers signed by the courts. |
| For Disabled Child (26 years and older) |
Physician verification of permanent disability. |
| Foreign Adoptions | Adoption papers signed by the courts; visa showing date of entry to United States. |
| For Stepchild(ren) | Child’s birth certificate (showing parent-child relationship with employee/retiree’s spouse); copy of marriage certificate. |
| For Court-Ordered Support | State affidavit; copy of signed court order requiring employee/retiree to provide support for health coverage. |
| For Guardianship | Court-ordered guardianship deemed permanent for insurance purposes. |
| For Domestic Partner | City of Atlanta Affidavit of Financial Reliance (notarized) within 31 days of approval. |
| For 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.