Dependent Eligibility Verification
Purpose
When you enroll your spouse/partner and/or eligible dependent children, in any of your CU medical, dental, vision, life insurance or tuition assistance benefits, as a New Hire or due to a Life Event, CU requires documentation to verify their eligibility.
You must submit documentation of eligibility for each dependent as listed in the Dependent Eligibility Verification (DEV) form (see below). If you do not provide the necessary documentation, your unverified dependents will be removed from your benefits plans.
Eligible dependents for CU benefits
- Spouse
- Common law spouse
- Civil union partner
- Domestic partners
- Children under the age 27
- Qualifying disabled children over the age of 27
Individuals who are NOT eligible for CU benefits
- Parents, grandparents and great-grandparents
- Siblings, nieces and nephews, aunts and uncles, and cousins
- Grandchildren, and great-grandchildren
- Ex-spouses
- Renters, boarders, tenants, and employees
- Any other individuals not listed in the eligible dependents definitions
When two members of a household are employed and/or retired with the university and/or university affiliates
- Current employee: You and your dependents cannot be covered as both an employee and a dependent for any CU medical, dental or vision plan. Dual coverage is allowed for life insurance. A member may be insured as both a member and a dependent up to a maximum combined life Insurance and dependents life insurance benefit of $1,000,000. A child may be insured by more than one member.
- Retiree: You and your dependents cannot be covered as both retiree and a dependent for any CU medical or dental plan. Dual coverage is allowed for life insurance. A retiree may be insured as both a retiree and a spouse of an active employee up to a maximum combined optional life insurance benefit of $500,000.
- Each parent employee/retiree may enroll in different plans and may enroll different dependent children under his or her coverage.
Supporting documents
| DEPENDENT TYPE | |||
|---|---|---|---|
| Spouse | Most recent Federal Tax return form showing a married filing status. You must include the signed signature page or Certificate of Electronic filing | Or | Marriage Certificate and one Secondary Verification Document |
| Common Law Spouse | CU Affidavit of Common Law | And | One Secondary Verification Document |
| Civil Union Partner | Civil Union Certificate | And | One Secondary Verification Document |
| Domestic Partner | CU Affidavit of Domestic Partnership for Same Gender Domestic Partners. (Opposite Gender Partners not eligible until 7-1-2018) | And | Two Secondary Verification Document |
| Child under the age of 27 | Birth or Adoption Certificate | Or | Court documents signed by a judge for parental responsibility or QMCSO |
| Disabled Child over the age of 27 | Birth or Adoption Certificate | And | A medical certificate of disability or Notice of Determination from the Social Security Administration |
| SECONDARY VERIFICATION DOCUMENTS (must be dated within the last 60 days) |
|---|
|
Imputed Income
The IRS uses the term imputed income to describe the value of any benefit or service that is considered income when calculating your federal taxes. Know your taxation. Some benefits and some dependent groups may be subject to taxation. Learn what the IRS categorizes as imputed income.
Online form
Access and complete the online Dependent Eligibility Vertification in your employee portal:
- Log in to the employee portal
- In the CU Resources area, open the dropdown menu and select Forms
- Click the Benefits tile
- Click the Dependent Eligibility tile, and complete the form
Paper form
If you are unable to complete the Dependent Eligibility Verification in your employee portal, a paperform can be downloaded below.
If you choose to click the employee portal option, remember to log into your portal before you click the link in the attached document. This will ensure you are routed to the correct place.
Last updated: 2/2022
