providing guardianship papers for medicare

PROVIDING GUARDIANSHIP PAPERS FOR MEDICARE PLUS

Evidence of eligibility as a dependent child for benefits under other state or Federal programs.

Documentation of regular and substantial support for the child, such as:.

Government-issued birth certificate or other document verifying child’s date of birth.

The enrollee must also verify a spouse’s eligibility (see above for required documents), even if not enrolling the spouse in an FEHB plan.

Court or administrative order (e.g., National Medical Support Notice).

Birth certificate, or final adoption certificate/decree, listing current spouse as parent or.

Court or administrative order (e.g., National Medical Support Notice).Ī copy of any one of the following documents:.

Front page of most recent tax year’s Federal or state tax return with child’s name or.

Authorized letter from a placement agency for the purpose of adoption or.

Final adoption certificate or decree or.

Court or administrative order ( e.g., National Medical Support Notice).

Voluntary affidavit of paternity or similar document or.

Front page of the most recent tax year’s Federal or state tax return or.

Government-issued birth certificate or.

Proof of common residency ( e.g., utility bill, other household bill, auto registration) and proof of financial interdependency ( e.g., shared bank statement, credit card statement, life, or auto insurance policy).Ī copy of any one of the following documents listing child and enrollee:.

Front page of most recent tax year’s Federal or state tax return or.

Married 12 months or more: copy of government-issued marriage certificate and one of the following sets of documents listing spouse:.

Married less than 12 months: copy of government-issued marriage certificate.

The enrollee may remove personal financial information and Social Security Numbers before submission.ĭocuments that are not in English must be accompanied by a certified or notarized translation.Īcceptable Document(s) to Verify Eligibility The following table lists documents that may establish family member eligibility for FEHB coverage.

disabled child age 26 or older who is incapable of self-support.Įmploying offices are not required to verify family member eligibility during the annual Federal Benefits Open Season due to the large volume of transactions however, employing offices may verify family members at their discretion and at any time after enrollment.

spouse not verified within the last year.

With a QLE, the employing office must require proof of family member eligibility for those that have not previously provided proof.

during the initial opportunity to enroll (IOE).

The employing office must require proof of a family member’s eligibility in two circumstances: The Carrier must accept the employing office's decision on a family member's eligibility. If a Carrier has any questions about whether someone is an eligible family member under a self and family enrollment, it may ask the enrollee or the employing office for more information. The employing office is responsible for making final decisions about whether a family member is eligible for coverage. Tribal Employer Note: Individuals who retire from tribal employment are not eligible to continue FEHB Coverage therefore, any reference to annuitants, survivor annuitants or Spouse Equity Act in this chapter does not apply to tribal enrollees or their family members. Special rules apply to family members if the enrollee is enrolled as a survivor annuitant or under the Spouse Equity Act or temporary continuation of coverage (TCC) provisions.

Other examples of family members that are not eligible include an enrollee’s parents, former spouse, and domestic partner, even if they live with and are dependent upon the enrollee. Disabled child age 26 or older, who is incapable of self-support because of a physical or mental disability that existed before their 26th birthdayĪ grandchild is not an eligible family member unless the child qualifies as a foster child.Family members eligible for coverage are the enrollee’s: A Self and Family enrollment covers the enrollee and all eligible family members.

PROVIDING GUARDIANSHIP PAPERS FOR MEDICARE PLUS

Flexible Spending Accounts Toggle submenuįamily Members Family Members Eligible for Coverage General Eligibility for CoverageĪ Self Plus One enrollment covers the enrollee and one eligible family member designated by the enrollee.Federal Employees Receiving Premium Conversion Tax Benefits.Transparency in Healthcare Toggle submenu.Coordination of Medicare and FEHB Benefits.Changes in Health Coverage Toggle submenu.

Providing guardianship papers for medicare