Dependent verification

About 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, October 1 through November 15, 2019, before they can be enrolled under your coverage, even if you have already verified their eligibility with your employer.

You can upload dependent verification documents in SEBB My Account, or provide documents directly to your payroll or benefits office.

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. If you are enrolling new dependents, you will need to provide documents to verify their eligibility.

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.

To enroll 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)
  • Proof of common residence, such as a utility bill, and marriage certificate
  • Proof of financial interdependency, such as a shared bank statement (black out financial information), and marriage certificate
  • 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

To enroll a state-registered domestic partner

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).

Provide a copy of (choose one):

  • Proof of common residence, such as a utility bill, and certificate/card of state-registered domestic partnership or legal union
  • Proof of financial interdependency such as a shared bank statement (black out financial information) and certificate/card of state-registered domestic partnership or legal union
  • 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

To enroll children

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
  • 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.

To enroll eligible children with disabilities

Eligible children also include children of any age with a developmental or physical disability that renders the child incapable of self-sustaining employment and chiefly dependent upon the employee for support and ongoing care, provided the condition occurred before age 26 and their certification is approved.

During the SEBB Program’s first annual open enrollment, October 1 through November 15:

  • If you are a currently enrolled member of the Public Employees Benefits Board (PEBB) Program, you are not required to recertify your child. Your certification will be migrated into SEBB My Account. Nothing further will be required until the next recertification period.
  • If you are not enrolled in PEBB benefits, but are enrolled in your SEBB organization’s (school district, charter school, or participating educational service district) health plan, your payroll or benefits office is authorized to attest to your dependent's disability status. The dependent must be currently enrolled under the SEBB organization’s current health plan based on eligibility as a dependent child age 26 or older with a disability. The attestation may be based on either of the following:
    • Existing SEBB organization’s enrollment record, finding the dependent child eligible at age 26 or older based on disability
    • Visual verification of a document from the SEBB organization’s current health plan, finding the dependent child eligible at age 26 or older based on disability
  • For a child with a disability who will turn age 26 between October 1 and December 31, 2019, the SEBB organization can continue to verify and attest through December 31, 2019. 

If you are not able to obtain an attestation from your SEBB organization while requesting enrollment of your child or your child is not currently enrolled on your coverage as a disabled dependent, follow the process for initial certification:

  • You must submit proof of the disability to the SEBB Program.
  • The SEBB Program, with input from your medical plan (if applicable), will verify the disability of a child beginning at age 26, but no more frequently than annually after the two-year period following the child’s 26th birthday, which will require recertification from you and your dependent’s provider.
  • If the SEBB Program does not receive your recertification form within the time allowed, the child will no longer be covered. To prevent a gap in coverage you must submit all required documentation within the first annual open enrollment period for the year 2020. If your child is turning age 26 in 2020, send documentation prior to their 26th birthday to prevent your child’s coverage from ending and resulting in a gap in coverage. If the child remains eligible, you can enroll them again if you experience a special open enrollment or during the next annual open enrollment.