2021 Employee Benefits Guide 2021 Employee Benefits Guide | Page 7

C H I L D R E N T U R N I N G AGE 26

B E N E F I T S O V E R V I E W

D E P E N D E N T

E L I G I B I L I T Y

Eligible Dependents Required Documentation Due dates
Spouse
* Note that spouses offered coverage through their own employer ( other than the City ) are not eligible for coverage on the City ’ s medical plan .
− Marriage License , or − Most recent joint tax return , or − Informal Marriage Form ( recognized by a court )
30 Days
Child / Stepchild ( Under 26 ) − Birth Certificate 30 Days
Other dependent child under 26 years old
Court order for guardianship or conservatorship signed by a Judge
30 Days
Adopted child − Adoption documents and Birth Certificate 30 Days Child placed for adoption − Placement documents and Birth Certificate 30 Days
Qualified
Medical
Support
Order
Other Medical Support Order directed to the City of Arlington
Child incapable of self-sustaining employment due to a mental or physical disability when the child is enrolled in the City medical plan the day before age 26
− Notification from State Attorney General
As directed by AG order
− Copy of Court Order to City of Arlington 30 Days
− Attending Physician Statement 30 Days

ANNUAL AUDITS OF EMPLOYEES

Annually , the City may conduct an audit requiring selected employees to provide documentation proving eligibility of covered dependents . This process is intended to confirm employees have only enrolled eligible family members . Any information that is false and / or inaccurate or enrolling dependents that do not meet eligibility guidelines is a material misrepresentation . This conduct may result in discipline up to and including termination of employment , personal liability for benefits received and / or criminal prosecution . Additional consequences may apply .

WHAT ABOUT F U T U R E L I FE EVENTS ?

Enrollment for “ future life events ” is not allowed . Examples would include marriages that are planned but have not yet taken place or children that have not yet been born or adopted . In order to become eligible , these events must actually occur and will be subject to the enrollment deadlines above and eligibility requirements above .

C H I L D R E N T U R N I N G AGE 26

A child is terminated from medical , dental , and / or vision coverage the last day of the month he / she attains age 26 . All other plans end on the date the child is age 26 .
City of Arlington / EMPLOYEE BENEFITS GUIDE 2021
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