ATTENTION CCPOA MEMBERS

CalPERS is requiring Re-Verification of Dependents

The Situation:

To ensure only eligible dependents of State employees are enrolled in employer-sponsored health coverage, California Government Code Section 22843.1 requires your employer to verify the eligibility of your dependent(s) at least once every three years.

  • Sixty (60) calendar days before your birth month, CalPERS will send you a letter providing the re-verification due date, listing the enrolled family members for re-verification and the acceptable re-verification documents.
  • You are to promptly provide re-verification documents to, and complete the Dependent Eligibility Verification Checklist (CalHR Form 781) with, your Personnel Specialist.
  • The Personnel Specialist will re-verify the same family members for dental and premier vision benefits, if enrolled.
  • Delay in providing re-verification documents to your departmental human resources (HR) office may result in your family members losing health, dental, and/or premier vision coverage.

The re-verification period is based on your birth month. The following chart illustrates the schedule:

What Do You Do?

If you have received a cancellation notice, contact your HR Department ASAP

What Do You Need?

If you have previously provided the required documentation to verify each dependent’s eligibility, the documentation must be provided again to comply with this new requirement.

Dependents who require verification:

  • Current spouse
  • Current domestic partner as registered with the California Secretary of State’s Office
  • Natural-born, adopted (or placement for adoption), current step, or current registered domestic partner children up to age 26.

Make copies of any required verification documents listed below for each dependent.

Provide all required documents to your agency’s personnel office.

Relationship Type

Acceptable Verification Documents

Spouse

A copy of your marriage certificate AND one of the following documents:

  • A copy of the front page of the most recent federal or state tax return confirming dependent as your spouse OR
  • A copy of a document dated within the last 60 days showing current relationship status, such as a recurring household bill or joint statement of account. The document must list your name, the name of your spouse, and your address.
Registered Domestic Partner

A copy of your Declaration of Domestic Partnership registered with the California Secretary of State AND one of the following documents:

  • A copy of the front page of the most recent federal or state tax return confirming dependent as your domestic partner OR
  • A copy of a document dated within the last 60 days showing current relationship status, such as a recurring household bill or joint statement of account. The document must list your name, the name of your partner, and your address.
Children (natural-born, adopted, placement for adoption, step, or registered domestic partner’s children) up to age 26 (the month in which dependent attains age 26)*
  • A copy of the child’s birth certificate or adoption certificate naming you, your spouse, or your domestic partner as the parent of the child OR
  • A copy of the court order naming you, your spouse, or your domestic partner as the legal guardian of the child.

* For a stepchild, or domestic partners child, you must also provide documentation of your current relationship to your spouse or domestic partner as requested above.

Find Out More

Cal HR - Search "dependent verification"

Cal HR: Dependent Re-Verification FAQs for Employees Re-verifying Family Members

Call CalPers: 888 CalPERS (or 888-225-7377)