Health Care Dependent Re-Verification
Sixty (60) calendar days before your birth month, CalPERS will send you a letter providing the re-verification due date, listing the enrolled family members for re-verification and the acceptable re-verification documents. You are to promptly provide re-verification documents to your campus benefit office. The benefit office will re-verify the same family members for dental benefits, if enrolled.
Delay in providing re-verification documents to your benefit office may result in your family members losing health and/or dental coverage.
Benefit offices will keep all documents used in the DRV process in your benefit file without a purge date.
You should provide copies of the documents and write "Not for Official Use" on them.
| Dependent Type | Required Re-verification Documents |
|---|---|
|
Spouse or Domestic Partner |
A copy of the marriage certificate or domestic partnership registration filed with the California Secretary of State or a comparable agency in another jurisdiction listing the family member as the domestic partner. AND A copy of the first page of the employee's federal or state income tax return from the previous tax year listing the employee and the spouse or domestic partner. OR A combination of other documentation, including but not limited to, a household bill, account statement, or insurance policy listing the name and address of the employee and the spouse or domestic partner, or other documents that substantiate the existence of a current marriage or domestic partnership. Household bills and account statements older than 60 calendar days are unacceptable. |
|
Natural-born Children |
A copy of the birth certificate naming the employee as the parent. |
|
Adopted Children |
A copy of the adoption certificate naming the employee as the parent. |
|
Stepchildren |
A copy of the birth certificate naming the employee's current spouse as the parent. |
|
Domestic Partner Children |
A copy of the birth certificate naming the employee's current domestic partner as the parent. |
The first document establishes the life event allowing the enrollment of the dependent (i.e., marriage or registering as domestic partners), while the second required document substantiates the relationship is current.
You will be responsible for any charge related to obtaining copies of the required documents.
Providing a copy of the documents for the initial DRV cycle will enable a more direct process for your campus benefit office to re-verify your family members. Benefit offices will keep all documents used in the DRV process in your benefit file without a purge date. In subsequent re-verifications, you need not provide birth certificates for natural-born children or adoption certificates for adopted children again. You also need not provide the marriage certificate, domestic partnership registration, and birth certificates for stepchildren or domestic partner children if the marriage or domestic partnership remains current.
HMS securely destroyed the documents received during the DEV project to protect the privacy of you and your family members.
If you provide re-verification documents for dis-enrolled, eligible dependents after receiving the final CalPERS notice during your birth month but before the re-verification due date, your campus benefit office may rescind the dependent deletion. You may incur an accounts receivable for the unpaid premium for the month after your birth month.
If you provide re-verification documents for dis-enrolled, eligible dependents after the re-verification due date, your benefit office re-enrolls the family members prospectively for health and/or dental benefits. This will result in a gap in the dependents benefit coverage.
If your child's 26th birth date coincides with your re-verification cycle, CalPERS will administratively remove your child from health benefits on the birth date. Your benefit office will remove your child from dental benefits, if enrolled.
You should contact your benefit office immediately if you wish to remove a dependent due to a "permissive qualifying event" (e.g., family member obtains non-CalPERS health benefits, family member enters military, custody change for child under age 18, or child reaches age 18). The dependent should be removed due to a qualifying permissive event rather than ineligibility found during the re-verification process.
The DRV is separate from the process to recertify a PCR dependent or a disabled child age 26 and over. Follow the instructions on these notices to recertify these dependents.
Notify your benefit office immediately of any qualifying event that occurs during the re-verification period, such as divorce or termination of domestic partnership. In these situations, the dependent should be removed due to the qualifying event rather than ineligibility found during the re-verification.
The CalPERS website contains health benefit information. Your campus benefit website contains dental benefit information. You also may obtain dental benefit information on the CSYou Intranet site.