Dependent Verification
In order for new family members to be eligible for coverage under any Trinity Health benefit plan, you are required to provide proof of their dependent status within 30 days of your new hire or status change date. If you do not submit the required paperwork by the deadline, your newly added dependents will not be enrolled in coverage and you will be required to wait until the next annual enrollment period to enroll new dependents in the plan.
Forms
Please refer to the documentation requirements list for details regarding required forms and documentation.
Who is Eligible for Coverage?
You are eligible to participate in the plan provided you meet the employment requirements defined by your Trinity Health Ministry Organization.
Below is a list of dependents who are eligible for coverage under the plan. Coverage for your dependents will remain in an "ineligible" status until appropriate documentation is provided. Failure to provide appropriate documentation within 30 days of your new hire or status change date. will result in the voluntary termination of coverage for your covered dependents.
Please note: If you and your spouse are employed with any Trinity Health Ministry Organization in a benefits-eligible position, you may either carry individual coverage as employees or one of you may cover the other as a dependent spouse. You and / or your spouse are not eligible to be covered as both an employee and a dependent under any Trinity Health plan. In addition, if both you and your spouse are covered as employees under a Trinity Health plan, only one of you may cover dependent children.
Dependent Children by birth, marriage, adoption, legal guardianship or qualified medical child support order (QMCSO)
Dependent children are eligible for coverage under the Plan through the end of the calendar year in which they turn 26, provided they meet all of the following criteria:
- They are the natural, legally adopted or court appointed children of either you and/or your legal spouse (a spouse by common law marriage is not considered your legal spouse for Plan purposes).
- They are not otherwise covered under the Plan or any other group health plan offered by the Employer.
Dependent children who are totally and permanently disabled are eligible for coverage beyond age 26, provided they also meet all of the following criteria:
- They are continuously enrolled in a creditable plan prior to their 26th birthday, and
- They are deemed legally disabled by mental or physical incapacity (i.e., unable to engage in any substantially gainful activity by reason of any medically determinable physical or mental impairment that can be expected to result in death or that has lasted or can be expected to last for a continuous period of not less than 12 months) prior to their 26th birthday.
Who is Not Eligible for Coverage?
Your legal spouse and / or dependent child(ren) if covered under any Trinity Health plan as an employee or dependent;
> Any individual who begins active service in the armed forces of any country, unless coverage is continued as provided under the Uniformed Services Employment and Reemployment Rights Act of 1994 (USERRA), and
> Any individual who does not meet the definition of an employee or dependent as described in the section of the Summary Plan Description titled "Who Is Eligible For Coverage."