Eligibility

Eligibility Definition

The marriage must be recognized as legal in the Commonwealth of Virginia.

NOTE: Ex-spouses will not be eligible, even with a court order.

Documentation Required

• Copy of state-issued marriage certificate received after the date of the ceremony with recorded file date, and 
• Copy of the first page of the employee’s most recent federal tax return that shows the dependent listed as “Spouse”. “Mark out” all financial information and the first five digits of all Social Security numbers

Eligibility Definition

A child may be covered to the end of the month in which he or she turns age 26.

Required Documentation

Copy of birth certificate (or proof of birth for newborn) showing employee as parent

Eligibility Definition

A child may be covered to the end of the month in which he or she turns age 26.

Required Documentation

Copy of birth certificate or court approved adoption order showing employee’s name. If this is a legal pre-adoptive agreement, it must be reviewed and approved by UVA HR.

Eligibility Definition

A stepchild may be covered to the end of the month in which he or she turns age 26.

Required Documentation

• Copy of birth certificate (or adoption agreement) showing the employee’s spouse as parent, and
• Copy of state-issued marriage certificate received after the date of the ceremony with recorded file date showing the employee and dependent parent’s name, and one form of proof of joint ownership, and 
• Copy of the first page of the employee’s most recent federal tax return that shows the dependent’s parent listed as “Spouse."  
• Redact or mark out  financial information and the first five digits of all Social Security numbers.

Eligibility Definition

A foster child may be covered to the end of the month in which he or she turns age 26.

Required Documentation

• Copy of birth certificate and
• Copy of Final Court Order granting permanent custody with name of employee as responsible party, name of minor children, and presiding judge’s signature, support order number, and seal

Eligibility Definition

A child for whom a court has ordered the employee (and/or the employee’s legal spouse) to assume permanent custody may be covered to the end of the birth month in which they turn 26, if:

• They are unmarried
• They reside full-time with employee in parent-child relationship
• They are declared dependents on employee’s federal income tax return, and
• Custody was awarded prior to the child's 18th birthday

Required Documentation

• Copy of birth certificate, and
• Copy of the Final Court Order granting permanent custody with name of employee or spouse as responsible party, name of minor children, and presiding judge’s signature, support order number, and seal

Eligibility Definition

If the employee (or the employee’s spouse) shares permanent custody of an “other child” with their minor child who is the parent of the “other child – exception”, then that “other child” may also be covered if the other child, the minor child (who is the parent) and the employee’s spouse (if applicable):

• All live in the same household as the employee, 
• Both children are unmarried,
• Both children are declared as dependents on the employee’s federal tax return, and
• A court has ordered the employee or the employee’s spouse to assume joint permanent custody.

Required Documentation

• Copy of the other child’s birth certificate showing the name of the minor child as the parent of the other child, and
• Copy of the birth certificate (or adoptive agreement) for the minor child showing the name of the employee, and
• Copy of the Final Court Order granting custody with names of employee or spouse and their minor child as the responsible parties, name of “other child”, and presiding judge’s signature, support order number, and seal

Eligibility Definition

The employee’s adult children who are incapacitated due to a physical or mental health condition may be covered beyond the end of the month in which they turn age 26 if they:

• Are permanently and totally disabled
• Are unmarried
• Reside full-time with the employee (or the other natural/adoptive parent)
• Are declared as a dependent on the employee’s federal income tax return
• Are deemed incapacitated prior to the end of the month in which they reach age 26
• Have maintained continuous coverage under an employer-sponsored plan of the employee (or the other natural/adoptive parent)

Required Documentation

• Copy of birth certificate or legal adoptive agreement showing employee’s name, and
• Other medical certification and eligibility documentation as needed
• In the case of a new employee, copy of the HIPAA Certificate showing prior employer-sponsored coverage