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Dependent Coverage Supporting Documents

In order to complete verification of your dependents’ status, please upload your required documents using the secure upload form below. 

What documentation must I provide for my existing dependents?

You must provide the following documents for currently enrolled dependents. (Please scroll down to see documentation requirements for newly enrolled dependents.):


Currently Enrolled Dependent Spouse

A copy of the front page of your 2019 federal tax return confirming this dependent is your spouse (please black out all financial information);

 or

If you have not yet filed your 2019 federal tax return, in the interim you may provide a copy of your 2019 tax return extension form showing your spouse’s Social Security Number; however, you must provide the front page of your 2019 federal tax return no later than November 1, 2020 in order to complete the DVI process.


Currently Enrolled Dependent Child

No documentation is required for your natural children, adopted children or children for whom you have been appointed legal guardian by the court in anticipation of adoption.

If you have enrolled step-children, you must provide a copy of the front page of your 2019 federal tax return confirming your step child’s natural parent is your spouse (please black out all financial information);

or

If you have not yet filed your 2019 federal tax return, in the interim you may provide a copy of your 2019 tax return extension form showing your spouse’s Social Security Number; however, you must provide the front page of your 2019 federal tax return no later than November 1, 2020 in order to complete the DVI process. 


Newly Enrolled Dependents for 2021

You must provide the following documents for new dependents you are enrolling: 

Natural Child: Birth Certificate.

Step-Child: Birth Certificate and Marriage Certificate showing you are married to the child’s natural parent.

Adopted Child: Adoption paperwork which lists adoptive parents,

Spouse: Marriage Certificate.

Our enrollment department will advise you if any additional documentation is needed.


Fields marked with an asterisk (*) are required. You may send files up to 18 MB in size, in the following formats:Thank you!

Image Formats: JPEG, JPG, GIF, PNG, BMP
Portable Document Format (PDF)

Use the “Browse” buttons to select your file for upload. Once you have attached the files you wish to upload, click the “Submit” button to complete your submission.











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