Spouse: the employee's legal husband or wife is eligible to be covered for benefit if he or she is not a Detroit Public Schools employee who is covering themselves for benefits (for medical, dental, and vision plans). Provide photocopy of marriage certificate and a copy of the top half of the front page of the employee's 2008 federal tax return that includes this spouse (you may black out all financial information).
Child: A child through age 19 who is dependent upon the employee and/or their spouse for primary maintenance and support and is: the natural or adopted child of the employee, a child under legal guardianship of the employee or employee's spouse, a stepchild, or a child for whom the employee or their spouse are required to provide coverage under a Qualified Medical Child Support Order (QMCSO). Employees are NOT eligible to cover a child on active duty in the military, a foster child, a child pending adoption, or a child who is employed by the Detroit Public Schools and eligible for coverage. For Natural Children, provide a photocopy of birth certificate showing employee's name. For Step Children, provide a photocopy of birth certificate showing employee's spouse's name and a copy of marriage certificate showing the employee and parent's name. For Legal Guardian, QMCSO, Adoption, or Grandchildren, provide a photocopy of Affadavits of Dependency, Final Court Order with presiding judge's signature and seal or Adoption Final Decree with presiding judge's signature and seal.
Child (Disabled): A child who meets the criteria for a "Child" and is over age 19 if he or she has a mental or physical handicap that makes him or her incapable of self-sustaining employment. The child must be the employee's legal dependent and rely on the employee for support and maintenance. In addition, the child must have been covered by the employee under the Detroit Public Schools plans for at least one year before the child turned age 19 and he/she must have become disabled before his/her 19th birthday. Provide documentation as noted above for "Child" dependent type and a copy of the top half of the front page of the employee's 2008 federal tax return that includes this child (you may black out financial information) and, if Social Security disability award has been awarded, or is currently pending, please include this information in the documentation submitted. Please note that this audit is only verifying the child's eligibility as a dependent. Your health carrier determines the disability status of the child.
Child (Student): A child who meets the criteria for a "Child" who is over age 19, less than 25, and is a full-time, unmarried student at an accredited educational institution who can provide proof of enrollment in the educational system. Provide documentation as noted for the "Child" dependent type, and only official documentation from the accredited educational institution stating that the student has full-time (12+credit hours) student status will be accepted. Items printed off a website, cancelled tuition checks, or schedules will not be accepted.
Mailing address: Dependent Eligibility Verification, PO Box 3005, Arlington Heights, IL, 60006-9923. Phone: 866-641-5651. Code: 1528.
Photographs and illustrations, as well as text, cannot be used without permission from the AFT.