Children can be covered until the last day of the month in which they turn age 26. Disabled dependents can be covered beyond age 26, if additional documentation is submitted. In the event of divorce or dissolution of domestic partnership, that individual must be removed through a status change request and will be offered COBRA insurance coverage. Enrollment will not be processed without all required documentation. International documents that do not list English as one of the languages of record must be submitted with a certified translation or proof of the dependent's visa status (i.e. Form I-94).
Supporting documentation must be submitted in Pitt Worx prior to making or updating your enrollment elections.
- If you are enrolling in or making changes to your benefits during the Open Enrollment period or as a new hire or re-hire, you must add your dependents in the Before You Enroll section in Pitt Worx and upload your documentation in the Document Records section in Pitt Worx prior to completing the enrollment process.
- When selecting a Document Type from the dropdown list, please be sure to only choose one that has Benefits as the category.
- If you experience a life event (qualified status change) and need to add or remove a dependent from your coverage, you must first submit a request to the Benefits Department so that a life event can be opened on your account. After the life event is opened, you will be able to update your dependents in Before You Enroll, upload your documentation in Document Records, and make changes to your benefits elections.
For quick reference on required documentation for reporting a life event (qualified status changes), please refer to this guide.
|
Relationship Type |
Required Documentation |
|---|---|
|
Spouse |
Marriage Certificate |
|
Domestic Partner1 |
University approved Affidavit of Domestic Partnership |
|
Natural Child |
Birth Certificate indicating that you are the child's parent. (A verification of birth can be used as a placeholder; however, a birth certificate must be submitted within 61 days of the child's birth.) |
|
Adopted Child |
Adoption decree stamped by the circuit clerk. (An adoption placement agreement can be used as a placeholder; however, the adoption decree must be submitted within 61 days of the adoption date.) |
|
Step Child |
Birth Certificate indicating your spouse is the child's parent and marriage certificate indicating you are married to the child's parent |
|
Child of Approved Domestic Partner |
Birth Certificate indicating your domestic partner is the child's parent and the University approved Affidavit of Domestic Partnership indicating you are in a domestic partnership with the child’s parent. |
|
Disabled Over Age Child |
Eligibility will be continued past the age of 26 for dependent children who, as medically certified by a physician, are incapable of self-support due to mental or physical disability, mental illness or a developmental disability that started before age 19. Initial certification with the insurance carriers as well as an annual recertification is required. Please contact carriers with questions. |
|
Legal Guardianship |
Court documentation signed by a judge and stamped by the circuit clerk |
|
Adjudicated Child |
Judicial Support Order from a judge or a copy of Qualified Medical Support Order with the page that indicates the member must provide health insurance through the employer. |
|
Death of a Dependent |
A death certificate is required to remove a dependent from coverage in the case of death. |
| Divorce |
A Divorce Decree is required to remove a former spouse from coverage in the case of a divorce. |
| Spouse/Domestic Partner Employment Change |
Used to add or remove a spouse/domestic partner due to an employment change. Acceptable documentation includes:
|
1Review this page for more information on Domestic Partner benefits.