► All active employees (full-time, part-time, intern, etc.) regularly scheduled to work at least 30 hours per week |
► Your spouse or same-gender domestic partner |
► Your children, stepchildren, children of your same-gender domestic partner or children in your guardianship up to age 26 |
► Adult children, stepchildren, children of your same-gender domestic partner or children in your guardianship of any age who are disabled |
*Notes:
If you will be enrolling dependents, remember that dependent verification is required. The good news is that you can now provide the substantiation documentation during your enrollment! Click HERE for the list of documents that satisfy the substantiation requirement. We suggest that you have your documentation available electronically so that you can upload it as you enroll.
Click HERE for the Domestic Partner Affidavit that can be used to verify the eligibility of your Same-Gender Common Law Spouse or Same-Gender Domestic Partner. This completed form should be uploaded to the enrollment site.