Dependent Eligibility Verification - Human Resources at Ohio State
Dependent Eligibility Verification
The Ohio State University is proud to provide access to affordable, high quality health care coverage to support you and your dependents in living healthy, happy lives. We are also committed to being good stewards of the funds used to provide health care benefits. As a result, the university requires employees to verify eligibility for their enrolled dependents. By effectively managing health benefits, Ohio State can direct more resources to the core missions of education, research and service.
The month following enrollment of your eligible dependents, a dependent verification packet will be mailed to your home address. The verification packet will provide information on acceptable forms of documentation to verify eligibility. Failure to provide complete documentation by the specified deadline will result in coverage termination for any dependent(s) not verified.
Dependent Eligibility Verification FAQs
Ohio State’s health care coverage consists of medical, dental and vision plan offerings. If your dependents are enrolled in any of these plans, you must verify their eligibility.
Required documentation may include federal tax returns, copies of state-issued birth certificates, marriage certificates issued after the date of the ceremony and/or proof of joint ownership.
A Dependent Eligibility Verification packet will be mailed to your home address containing instructions and information on how you can verify eligibility for all of your covered dependents. You must verify each dependent’s eligibility and submit the required documentation online or via mail by the specified deadline. Failure to provide complete documentation by the specified deadline will result in coverage termination for any dependent(s) not verified.
If you miss the deadline for response listed in the packet, your dependents will be considered ineligible, and their coverage will be terminated. Prior to their coverage actually terminating, you will have one final opportunity to appeal the decision by providing appropriate eligibility documentation. After the appeal window closes, coverage for any dependent whose eligibility has not been verified will be terminated and the next opportunity to enroll that dependent is during an Open Enrollment period or if you experience a qualifying status change. Verification of eligibility will again be required any time you add a new dependent to your plan coverage.
Complete the Voluntary Removal section of the Dependent Eligibility Verification Form and return it as instructed in the packet.
Termination of a dependent who was never eligible for coverage under our plan is not considered a COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) qualifying event and COBRA continuation of coverage is not available.
Your dependent may be eligible for health coverage through the Health Insurance Marketplace. Go to healthcare.gov for more information, including an online application for health insurance coverage.
No. The purpose of the Dependent Eligibility Verification is only to remove ineligible dependents. You may add or remove eligible dependents only during an annual open enrollment period or within 31 days of a qualifying status change.
You may contact the government office in the county or state in which the event took place (e.g., birth, marriage, etc.). Most offices will mail a replacement document for a nominal fee within five business days.
For a more immediate response, you may visit the county or state office to obtain the document the same day. Please make sure you know what information you will need to present in order to obtain the document before visiting the county or state office.
Only the verification administrator will have access to your personal information, which will be used solely to verify the eligibility of your dependents. All transmitted information will be treated as private and confidential, under penalty of law. Administrative, physical and technological safeguards have been put in place to ensure the confidentiality of your personal information.