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m  are anyone
you have listed on your
insurance coverage.

m Yourspouse and children


who are covered by health,
dental, vision, or life
coverage are your
dependents.
m àn an effort to control costs,
the Employee ànsurance Program,
(EàP) will begin verifying
eligibility of all dependents by
requiring documentation for all
covered dependents.

m When an audit was performed last fall, it


was found that out of 529 students, 189
were not eligible for coverage. The state
saved 1.2 million dollars by not paying
claims on these students.
m With more than 187,000 covered
dependents on state coverage, EàP
expects to find somewhere around 7% of
dependents do not actually qualify for
coverage. Saving an estimated $19 to
$20 million dollars per year.

m The initial audit cycle began


mid-April and is expected to
take 18 to 24 months to
complete.
m At some point during the audit cycle, all
subscribers, who cover dependents, will
receive a letter from EàP asking them
to submit documentation to
verify the eligibility of each
of their covered dependents.

m àf the subscriber does not


provide documentation
within D  from the date
of the audit request, his dependents
will be dropped from whatever coverage
they have, health, dental, vision or life
insurance.
Ñ

  

  
m  Ñ
!
1. A copy of your marriage license and a copy of
page 1 of your current federal tax return. àf
married filing separately, submit page 1 of both
federal tax returns. To protect your privacy, please
black out all financial information.

2. àf not married long enough to file a joint tax


return, a copy of your marriage license only.

m ·   Ñ Ñ
!
1. Photocopy of divorce decree ordering the
subscriber to cover the former spouse.

2. àf separated, a copy of the separation agreement.


m Î  "Ñ
# $%& '!

1) One of the following to prove that you and your spouse live at
the same residence (submit one for yourself and one for your
spouse):
Lease or mortgage Auto registration
Drivers license Utility bill
Pay stub (with your address listed) Current tax return

2) (Ñone proof of current financial interdependency:


Joint ownership of your home
Joint lease/rental agreement
Joint homeowner/renters insurance policy
Joint bank account statement or a voided check
Joint credit card statement
Account numbers and account balances may be blacked out.

m A |!
& $   
%   
 Î  "   $
 &

  &  )
Î&
  

  
m A 
Î&- Birth Certificate (long form)
showing the subscriber as the parent.

m Ñ* &- Birth Certificate (long form)


showing name of natural parent plus proof
natural parent and subscriber are married
(see spouse above).

m Î&- Court documentation


verifying completed adoption or a letter of
placement from an adoption agency, an
attorney or the SC Department of Social
Services, verifying the adoption is in
progress.
m ·  Î&- Court order or other legal
documentation placing the child with the
subscriber, who is a licensed foster parent.

m & Î& * ·or all other children for


whom a subscriber has legal custody, a court
order or other legal document granting
custody of the child to the subscriber.
Documentation must verify the subscriber has
guardianship responsibility for child, not just
financial responsibility.
m àf you have children on your health, dental,
vision or life insurance coverage, you will be
required to provide a ³long form´ birth
certificate that lists both of the parents.

m àf your child was born in South Carolina, the


only place to obtain this certificate is at
SCDHEC, located in Columbia. Local
SCDHEC offices will only issue the short
form (blue card) birth certificates and the
short form does not list the parents.

m You can obtain the form to request the long


form birth certificate from SCDHEC at
www.scdhec.gov.
 % ·  &Î   % 

1. Complete the application found on the SCDHEC


website

2. Enclose $12 per original certificate requested by


certified check or money order; personal checks
will not be accepted.

3. Send a photocopy of a valid picture àD of the


applicant. (person requesting the certificate)
£ Any United States¶ Department of Motor Vehicles office-
issued picture identification, i.e. driver¶s license,
identification card, learner¶s permit (unexpired)
£ Current school or employer picture identification card
£ Military card (unexpired ± active duty or retired member)
£ Passport ± US or ·oreign (unexpired)
m remember: Do not wait until the last minute to
request this information«.

m Average processing time at SCDHEC


is 2-4 weeks (standard), 3-5 business
days (expedited) for an additional fee.

m Mailing address: SCDHEC, 2600 Bull St.,


Columbia, SC 29201

m You may also ³walk-in´ to the SCDHEC, 2600 Bull


St., Columbia, SC 29201, but you will still need
the completed application, photo àD and $12
search fee to obtain the birth certificate the
same day.
m To complete your audit prior to receiving the
letter from EàP, gather the needed information
and complete the   · 
found on the Employee ànsurance Program
website at www.eip.sc.gov. After you get to the
website, select ·orms, then select Dependent
Verification ·orm.

m Make sure your address is correct with EàP so that


you will receive your audit letter in a timely
manner. This is your responsibility.

m You can check your address by going to


www.eip.sc.gov then scroll down to
MyBenefits listed on the left hand side
of the screen. After you sign into MyBenefits,
you can review your contact information and make
changes if necessary.
AOTàCE
As of May 1, 2011, specific
documentation will be required to
enroll a dependent at any time such
as Open Enrollment in October 2011
or a Special Eligibility Situation.
A Special Eligibility Situation is loss
of insurance due to loss of job,
marriage, or birth, etc. when
insurance coverage can be added
within 31 days of event.
 +Ñ&&
 

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