Dependent confirmation

The health system asks employees for documents to confirm their dependent is eligible to receive coverage under the health system’s benefits plan. This applies to all benefits where a dependent is named, including medical, dental, vision and life insurance.

It’s important to send the appropriate documentation to avoid your dependents’ coverage being canceled and/or a spousal surcharge of $50 per paycheck for medical benefits. This best practice will help keep benefit costs as low as possible for employees. Ineligible dependents on any of our plans increases benefit costs, which impacts premiums.

Who collects the documents?

The health system has partnered with Consova to collect and review eligibility documents. As part of this review, they will:

Contact affected employees, providing instructions to access its secure website and communications about deadlines and results.
Confirm that dependents signed up for coverage are eligible (for example, children and spouses meet the definitions of those terms in the plans); and
Confirm whether the spousal charge ($50 per paycheck) should be applied. This charge applies when a spouse is offered medical insurance from their employer but chooses to be covered on the health system’s medical plan. This charge does not apply to dental or vision coverage.

What are the deadlines?

For those who signed up for 2025 benefits during annual benefits enrollment:

Consova will send instructions to your preferred email and home address on Nov. 20, 2024. Upload your documents to Consova’s secure portal by Dec. 16, 2024.

For new employees, newly eligible employees or employees who experience a qualifying life event:

The date materials are due will vary. You will receive instructions from Consova after you enroll in your benefits.

Need assistance?

Beginning Nov. 20, Consova can help with:

Online Knowledge Center, chat, online inquiry, phone assistance
Help finding lost documents
List of potential insurance options to help you find alternative coverage

Documents you will need to submit

Dependent Relationship	Required Verification Documents
Spouse: Your legally married spouse or common law spouse, as long as you reside in a state that recognizes common law marriage. (Legally separated or divorced spouses are not eligible for coverage.)	A copy of your marriage certificate or a common law affidavit. And A copy of page one through the claimed dependents section of your jointly filed federal tax return (form 1040) or both of your tax returns if you file separately, from the most recent tax season. If married in the current calendar year, only the marriage certificate will be required. Please black out the first five digits of any Social Security numbers. And, for those covering spouse on medical: Complete and return the Benefit Verification Form. This form may be found at https://iverify.consova.com/. (Access information provided by Consova.) Note: All employees who include their spouse as a dependent for medical coverage need to complete this form, regardless of whether or not you are currently paying a surcharge.
Child under age 26: space Your natural child Legally adopted child or child in the process of being adopted; Your stepchild; A child of whom you or your spouse have full legal guardianship of; A child who is the subject of a Qualified Medical Child Support Order (QMCSO) issued to you.	A copy of the following documents (varies by the relationship of the child to the employee): Natural child: State or county issued birth certificate showing employee’s name or signed court order. If birth certificate lists employee’s maiden name, please provide marriage certificate. Legally adopted child: State or county issued birth certificate showing employee’s name or signed court order. If birth certificate lists employee’s maiden name, please provide marriage certificate. Stepchild: State or county issued birth certificate showing parents’ names, copy of your marriage certificate, and a copy of page one through the claimed dependents section of your jointly filed federal tax return (form 1040) or both of your tax returns if you file separately, from the most recent tax season. Please black out the first five digits of any Social Security numbers. Child whom you or your spouse have legal guardianship: Signed Court Order and a copy of page one through the claimed dependents section of your filed federal tax return (form 1040) from the most recent tax season claiming the child as a dependent. Please black out the first five digits of any Social Security numbers. Child who is the subject of a Qualified Medical Child Support Order: Signed court order.
Disabled child aged 26 or older: A child who is incapable of self-support, provided the disability began before age 26.	For unmarried disabled children, age 26 or over, in addition to the birth certificate, we will also need a copy of page one through the claimed dependents section of your filed federal tax return (form 1040) from the most recent tax season claiming the child as a dependent. Please black out the first five digits of any Social Security numbers.
If you are unable to provide any of the documents requested, please contact Consova for alternative documents at (855) 625-3572.

Keep your documents, as you may be asked for them again in the future. Consova does not maintain your records.

Eligibility & Enrollment