Wednesday, March 19, 2014

Dependent Audit for Benefits

Have you received a letter in the mail asking for proof of your dependents? If so, it is important that you reply with the correct documentation, such as a birth certificate or marriage license. North Shore-LIJ is verifying that all dependents currently covered by the health system-sponsored medical plans are actually eligible for this coverage. If it turns out your loved one is not eligible for our health plans you will not be penalized but you will have to find alternative coverage. If you need assistance providing the documentation requested contact the  third party vendor, ACS, HR Solutions at 1-888-218-1475.

Some of the relationships that are not legitimate for dependent coverage include:

  • Ex-spouses
  • Live-in partners or roommates 
  • Girlfriends/boyfriends or same-sex domestic partners
  • Cousins, nieces, nephews, sisters, brothers, parents
  • Neighbors and/or friends
  • Children over 26

In order to be eligible for medical coverage your dependent must be: 

  • A legally married spouse
  • Children under the age of 26 - natural, step and adopted
  • Unmarried children who are incapable of self-support due to physical or mental disability


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