The SEBB Program's first annual open enrollment has begun and runs through November 15. Benefit coverage will begin January 1, 2020. Find out how to enroll. Note: ALEX, the online benefits advisor, is now available.

Dependent verification

What is dependent verification?

If you are enrolling dependents on your SEBB Program benefits account, you will be required to provide evidence of your dependents’ eligibility. 

All dependents must be verified during the SEBB Program’s first annual open enrollment* before they can be enrolled under your coverage—whether they are new or you have already verified their eligibility with your employer.

Are you currently enrolled in PEBB? If you are transitioning from the PEBB Program coverage to SEBB Program coverage and your covered dependents were already verified, you do not need to provide dependent verification. 

* October 1 through November 15, 2019

What are valid dependent verification documents?

Birth certificates, adoption decrees, tax returns, and parenting plans are among the types of documents you can use to prove eligibility. All documents must be submitted in English. Documents written in a foreign language must include a translated copy prepared by a professional translator and certified with a notary public seal.

If you are enrolling a spouse, provide a copy of (choose one):

  • Your most recent year’s jointly filed federal tax return that lists the spouse (black out financial information)
  • Your and your spouse’s most recent year's federal tax returns if filed separately (black out financial information)
  • Marriage certificate and evidence that the marriage is still valid, such as a utility bill within the last 2 months showing both your and your spouse’s name (black out any financial information).
  • Petition for dissolution of marriage (divorce)
  • Legal separation notice
  • Defense Enrollment Eligibility Reporting System (DEERS) registration
  • Valid J-1 or J-2 visa issued by the U.S. government

If enrolling a state-registered domestic partner, attach a completed Declaration of Tax Status form to indicate whether your state-registered domestic partner qualifies as a dependent for tax purposes under IRC Section 152, as modified by IRC Section 105(b).

In addition, provide a copy of (choose one):

  • A certificate/card of state-registered domestic partnership or legal union and evidence that the partnership is still valid, such as a utility bill within the last 2 months showing both your and your partner’s name (black out any financial information).
  • Petition for invalidity (annulment) of state-registered domestic partnership or legal union
  • Petition for dissolution of state-registered domestic partnership or legal union
  • Legal separation notice of state-registered domestic partnership or legal union
  • Valid J-1 or J-2 visa issued by the U.S. government

If you are enrolling a child, provide a copy of (choose one):

  • The most recent year’s federal tax return that includes the child as a dependent and lists them as a son or daughter (black out financial information)
    Note: You can submit one copy of your tax return as a verification document for several family members that require verification.
  • Birth certificate (or hospital certificate with the child’s footprints on it) showing the name of the parent who is the subscriber, the subscriber’s spouse or state-registered domestic partner*
  • Certificate or decree of adoption showing the name of the parent who is the subscriber, the subscribers spouse, or the subscriber’s state registered domestic partner
  • Court-ordered parenting plan
  • National Medical Support Notice
  • Defense Enrollment Eligibility Reporting System (DEERS) registration
  • Valid J-2 visa issued by the U.S. government

*If the dependent is the subscriber’s stepchild, the subscriber must also verify the spouse or state-registered domestic partner in order to enroll the child, even if not enrolling the spouse or state-registered domestic partner in SEBB insurance coverage.

If you are enrolling a child with disabilities, age 26 or older, you may need to complete the Certification of a Child With a Disability form (HCA form 20-0061).

Currently enrolled under PEBB through my employer

If you are currently enrolled in PEBB, the PEBB Program’s certification for a dependent child age 26 or older will be transferred to SEBB My Account, and you will not need to take further action until the next recertification period.

Recertification: The recertification of your dependent child’s disability status will be set to occur based on the date the current PEBB Program certification is set to end.

Currently enrolled under a group health plan through my employer

Your payroll or benefits office is authorized to attest to your dependent child’s disability status if your child is currently enrolled under your health plan based on eligibility as a dependent child age 26 or older with a disability. This will allow your child to have a temporary transition of coverage onto SEBB benefits effective January 1, 2020.

This attestation may be based on the following:

  • Existing school district, educational service district, or charter school enrollment record, finding the dependent child eligible at age 26 or older based on disability; or
  • Visual verification of a document from the school district’s, educational service district’s, or charter school’s, current health plan finding the dependent child eligible at age 26 or older based on disability.

If your dependent child will turn age 26 on or before December 31, 2019, the SEBB organization can continue to verify and attest through December 31, 2019.

If you have a child age 26 or older whose disability status is provided through attestation you will be required to certify the child through the SEBB Program’s certification process. The SEBB Program or the applicable SEBB  medical plan will send you notification of this requirement in advance of the certification deadline.

Not enrolled in PEBB and unable to obtain an attestation through my employer

If you are not currently enrolled in PEBB benefits and are unable to obtain an attestation from your SEBB organization, you are required to certify your child through the SEBB Program’s certification process.

  • The child was not previously certified under a SEBB organization’s group health plan;
  • The child was previously denied by a school district plan; or
  • For a child with a disability who will turn age 26 or older on or before December 31, 2019, the SEBB organization can continue to verify and attest through December 31, 2019. The certification of dependent with disabilities form will have to be submitted on or before December 31, 2019.

Note: If your dependent child turns age 26 on or after January 1, 2020, you are required to certify your child through the SEBB Program’s certification process if you elect to retain your child’s enrollment on your SEBB account.

See Policy 36-1: Certifying eligibility for a dependent child with a disability who is age 26 or older for more information.

How do I submit verification documents?

You can submit documentation in one of two ways:

  • Upload dependent verification documents in SEBB My Account, or
  • Provide documents directly to your payroll or benefits office.