91福利社

Benefits & Wellness

Verification Documentation

DEPENDENT REQUIRED DOCUMENTS
Married Spouse Marriage certificate
Children birth to age 26
(Biological, Step, Adopted, Legal Dependent)
Copy of a birth certificate or hospital record naming you or your spouse/partner as the child's parent, or

Copy of court order naming you or your spouse/partner as child's legal guardian, or

Copy of court order of adoption or adoption certificate naming you or your spouse/partner as the child's parent

Copy of a tax return containing the child's social security number
Dependent Gains Other Coverage Proof of other coverage (start date)
Dependent Loses Other Coverage Proof of coverage loss (end date)
Divorce Copy of Divorce Decree
Employee Gains Other Coverage Proof of other coverage (start date)
Employee Loses Other Coverage Proof of coverage loss (end date)