ELIGIBILITY, VERIFICATION AND ENROLLMENT
FlexForce associates are eligible to participate in our health benefits.
ELIGIBLE DEPENDENTS AND THE DOCUMENTS YOU NEED DEPENDENT
DOCUMENTS FOR VERIFICATION
Page 1 of most current year’s federal income tax return (1040 or 1040SR), with financial data blacked out OR Certified marriage certificate AND a joint checking account statement or mortgage statement from within the past 90 days Page 1 of current year’s federal income tax return (1040 or 1040SR), with financial data blacked out OR Birth certificate showing associate as parent OR Court document (Medical Support Notice)
SPOUSE — PERSON TO WHOM YOU ARE LEGALLY MARRIED
YOUR NATURAL BORN CHILD(REN)
YOUR ADOPTED CHILD(REN)
Adoption certificate or court documents
YOUR STEPCHILD(REN)
Birth certificate AND completed dependent verification of eligible spouse
CHILD(REN) FOR WHOM YOU MUST LEGALLY PROVIDE HEALTH CARE COVERAGE
Relevant sections detailing coverage requirements of completed, signed and dated court documents
Children will age out of benefits at age 26 and will be automatically removed at the end of the month in which they turn 26.
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