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Eligibility and Required Documentation

Eligibility and Required Documentation

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Dependent family members must meet specific eligibility requirements to join the Manatee YourChoice Health Plan. Additionally, documentation demonstrating their eligibility must be provided at enrollment. Read More below to determine whether your dependent is eligible.

 

 

Is My Legal Spouse Eligible?

Your legal spouse is eligible if his/her name is included on the marriage certificate. Required Document: Marriage Certificate.

 

Is My Natural Child Eligible Regardless of Residency, Student Status, or Marital Status?

Your natural child is eligible through the end of the calendar month he/she attains the age of 26. In order for your child to be a natural child, your name must appear on the birth certificate or other legal document that establishes paternity/maternity. Required Documents: Birth Certificate, and/or applicable documentation.

 

Is My Stepchild Eligible?

Your stepchild is eligible through the end of the calendar month he/she attains the age of 26. Required Documents: Stepchild's Birth Certificate with spouse as parent and Marriage Certificate.

 

Is My Adopted Child or Child Under Guardianship/Custodianship Eligible?

Your adopted child is eligible through the end of the calendar month he/she attains the age of 26. Required Document: Court Order of Legal Adoption.

Your child under guardianship/custodianship is eligible through the end of the calendar month he/she attains the age of 18. Required Documents: Court order, signed by a judge, authorizing custody or guardianship.

 

Is My Disabled Child Eligible Beyond Age 26?

Your disabled child is eligible to remain on the plan if he/she was a dependent on the plan before the end of the month he/she attains the age of 26 and became incapable of working due to a disability before that date, and he/she is financially dependent on you for support.  Required Documents: Birth Certificate and documented proof from a physician on incapacity and dependency (as requested by the Plan Administrator).

 

Is My Grandchild Eligible?

Your grandchild is eligible if he/she was born to a covered dependent and is living with you and the dependent parent, and the grandchild is financially dependent on you. Required Documents: Birth Certificate of Dependent Child and Birth Certificate of Grandchild
NOTE: Insurance is available until the last day of the month in which the child reaches 18 months, or when the child's parent is no longer a qualified dependent under the plan, or if the grandchild no longer resides with the employee -- whichever comes first.

 

Is My Child From Age 26-30 Years Old Eligible?

Your child who does not qualify as disabled (see above) is eligible for medical coverage only (no dental or vision coverage) from age 26 through age 30 at an additional premium cost if he/she is:

  • a resident of the State of Florida or is a student full/part time, and
  • is unmarried with no dependents, and
  • does not have other private insurance coverage or is not entitled to benefits under the Social Security Act, and
  • is not on military duty

Required documents: Birth Certificate, Proof of Enrollment from School's Registrar Office.

 

Documentation Requirements for Eligible Dependents

General Standards for Determining Whether a Document Is Valid:

  • Document must be issued by a governing agency (Country, State, County, and/or Court)
  • A commemorative certificate published by a church or hospital is not acceptable
  • Document must be signed by an authorized agent (Judge, Clerk, Physician, etc.)
  • Document must have dependent's name clearly displayed
  • Document must have the covered employee's name clearly displayed or the document should be easily traced to a subsequent document that does display the covered employee's name
  • Document must clearly display the date of the life event (birth, marriage, divorce, adoption, etc.)

 

Where Can You Obtain Copies?

Birth Certificate (if born in Florida)

Records Request can be handled at the Manatee County Department of Health Office of Vital Statistics:
410 6th Ave East
Bradenton, FL 34208-1928
(941) 748-0747 x1222

https://www.floridahealth.gov/certificates-records/birth-certificates/

Court Orders/Divorce Decrees/Marriage Certificates (if recorded in Florida)

Records Request can be handled by the Clerk of the Circuit Court Recording Division:
1115 Manatee Ave W
Bradenton, FL 34205
(941) 749-1800

Out-of-State Documents

Documents may be obtained for a fee at: http://www.vitalrec.com.