2 2 Verify Existing Employee using Form I-9CMS-L564: Request for Employment InformationCMSBenefit Ve 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Commonwealth retiree’s name in the designated field. This is essential for identifying the retiree associated with the health benefits.
3. Next, input the last four digits of the retiree’s Social Security Number and their date of birth in mm/dd/yyyy format. This information helps verify identity and eligibility.
4. Fill in the spouse’s name and date of birth, ensuring accuracy as this data is crucial for benefit verification.
5. Indicate whether your spouse is employed full-time or part-time, or if they are retired. This section determines their eligibility for health insurance coverage.
6. The retiree must sign at the bottom to validate the information provided before submission.
7. An authorized representative from the spouse's employer should complete their section, including company name and eligibility details regarding health insurance.

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