State Health Plan to Conduct Dependent Eligibility Verification
Beginning July 30, 2010, the State Health Plan for Teachers and State Employees will verify the eligibility of all dependents covered on the State Health Plan. This initiative consists of a six-week Verification Period during which all members must provide proof of eligibility for each of their dependents enrolled for coverage under the State Health Plan during the 2010-2011 Plan Year.
Why is the State Health Plan Conducting a Dependent Verification?
The dependent verification process will help the State Health Plan to:
This process is quickly becoming a "best practice" among state health plans. In fact, Georgia, Virginia, Ohio, Tennessee and Hawaii have already conducted similar dependent verification initiatives for their state plans.
Who will Administer the Verification Process?
How the Dependent Verification Process will Work
Members will be asked to complete and submit a signed Verification Form to Secova, along with the appropriate documentation, by October 15, 2010. Members may submit the documentation in one of three ways:
Please note that in order to log into the website you will need your Member ID#. It is included on the Cover Sheet for Dependent Verification document that is in your Verification Packet. Using the example below the Member ID# is the set of numbers and letters (beginning with W) that appear in the green box. For example the Member ID # in the example below is W1111111101.
All information provided will be kept confidential. Paper documentation provided by subscribers will be shredded when the verification process is complete. For this reason, it is important that subscribers send only copies – not original documents – as verification.
Members who submit a properly completed form and provide acceptable documentation will receive a personalized confirmation letter from Secova; no further action will be required. Members who do not submit a properly completed form and/or do not provide documentation by August 30, 2010, will receive a reminder letter about the approaching dependent verification deadline.
Finally, a suspension of coverage letter will be sent to members who do not respond to the dependent verification request by October 15, 2010. This letter will inform members that their dependents will be dropped from coverage, retroactive to July 1, 2010.
Members whose dependents are removed from coverage may file an appeal. The deadline for filing an appeal is December 15, 2010. Note: Members covering ineligible dependents will be asked to pay for any claims incurred by their ineligible dependents on or after July 1, 2010.
Who is an Eligible Dependent?
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