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Verification of Dependents & Enrollment

Human Resources requires the following documentation for new hires enrolling dependents in health and welfare benefits. Existing employees will need to furnish documentation if/when making changes to an enrollment choice, such as adding dependents due to a qualifying life event such as marriage.

Required documentation must be submitted to Human Resources within 31 days of date of hire or within 31 days of a qualified status change . Documentation may be uploaded in MPI: Benefits Self Service or by using our secure upload site . Failure to provide required documentation may result in a denial of coverage for eligible dependents. Failure to submit dependent verification paperwork may result in insurance coverage denial.

Dependent Verification

Dependent Required Documents
Married Spouse  Marriage certificate
Domestic Partner

Ohio University Domestic Partner Enrollment Form [PDF]

Ohio University Domestic Partner Affidavit [PDF]

Supporting documentation as required by Domestic Partner Affidavit

Children birth to age 25
(Biological, Step, Adopted, Legal Dependent, Domestic Partner Dependents)

Copy of a birth certificate or hospital record naming youor your spouse/partner as the child's parent, or

Copy of court order naming you or your spouse/partneras child's legal guardian, or

Copy of court order of adoption or adoption certificatenaming you or your spouse/partner as the child's parent

Copy of a tax return containing the child's social securitynumber

Enrollment Verification

Enrollment Verification
Dependent Gains Other Coverage Proof of other coverage
Dependent Loses Other Coverage Proof of coverage loss
Divorce Copy of Divorce Decree
Domestic Partnership Ends Statement of Termination of Domestic Partnership [PDF]
Domestic Partnership Starts

Ohio University Domestic Partner Enrollment Form [PDF]

Ohio University Domestic Partner Affidavit [PDF]

Supporting documentation as required by Domestic Partner Affidavit

Employee Gains Other Coverage Proof of other coverage
Employee Loses Other Coverage Proof of coverage loss
Marriage Marriage Certificate
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