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SUBSCRIBER AFFIDAVIT DEPENDENT CURRENT STATUS TYPE

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The document is a notification for subscribers regarding a random sample dependent eligibility verification process. Subscribers are required to review the eligibility of their dependents, provide necessary documentation, and return the signed affidavit by May 27, 2011. It outlines the steps to confirm eligibility, consequences for misrepresentation, and provides contact information for assistance.

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What is dependent eligibility verification?

What is a dependent eligibility verification? A Dependent Eligibility Verification (DEV) is simply the process by which you verify the relationship between the participant and their dependents to ensure they should in fact be eligible for coverage.

What are eligible dependents?

Relationship: Be your son, daughter, stepchild, eligible foster child, brother, sister, half-sister or -brother, stepbrother, stepsister, adopted child or the child of one of these. Age: Be under age 19 or under 24 if a full-time student, or any age if permanently and totally disabled.

Who is eligible for Calhr benefits?

Employees are eligible for health benefits if they have a permanent appointment or a limited-term appointment of more than six months (at least six months plus one day); and a time base of half-time or more.

What is Section 599.855 of the California Code of Regulations?

At least once every three years, California Government Code Section 22843.1 and California Code of Regulations Section 599.855 require your employer to re-verify the eligibility of your dependent(s). This Affidavit is required to be completed by the Subscriber.

Who are eligible dependents for Calpers?

Spouses, registered domestic partners, natural born children, adopted children, stepchildren, and children of registered domestic partners. Note: Parent-child relationships and overage disabled dependents have their own recertification process.

Who is eligible for CalPERS dependents?

Your children, adopted children, stepchildren, or domestic partners children who are under age 26 may be added to your health plan regardless of whether they live with you. Another persons child under age 26 may be eligible for coverage if a parent-child relationship exists.

What is the meaning of dependent in affidavit?

AFFIDAVIT OF DEPENDENCY. The undersigned, being first duly sworn, under oath says that dependents name) (birthdate) (relationship) is a dependent of mine (dependent meaning: natural child, legally adopted child, foster child or stepchild) in that he/she meets the following requirements: 1.

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