Dependent Verification

DEPENDENT VERIFICATION REQUIREMENTS

If you elect to add new dependents to insurance (health, dental, vision), you will be required to provide documentation showing that they meet eligibility requirements.  To verify your dependents, you must submit the required documentation as defined in the Dependent Verification Documentation Chart along with the signed Certificate of Dependent Eligibility Attestation. 

• Open Enrollment: Required documentation must be received in Human Resources by the close of business on the final day of the open enrollment period. The FBMC online enrollment system has a “Document Upload” feature to easily add dependent verification documents directly to the enrollment website.
• New Hire Enrollment: Required documentation must be received in Human Resources within 30 days of your hire date.
• Special Enrollment Period (Qualifying Event): Required documentation must be received in Human Resources within 30 days of the qualifying event.

Your enrollment elections, including the dependents added, are subject to review and/or modification based on the dependent documentation you supply.  Please contact Human Resources if you have questions. 

Dependent Verification Documentation Chart

Certificate of Dependent Eligibility Attestation