Relatives' Eligibility for Health Benefits Being Reverified

In April, Secova Inc., working with the University of California’s Human Resources office, will begin contacting certain employees and retirees to reverify the eligibility of some dependents for health and welfare benefits.

If you are selected as part of this reverification process, Secova will request information verifying the current eligibility of your spouse or domestic partner, grandchildren or legal wards. It is important to follow all instructions carefully; failure to respond to, or comply with, the Family Member Eligibility Verification notifications sent by Secova may result in the de-enrollment of your unverified dependents.

Why UC Is Reverifying

The University has a fiduciary responsibility to California taxpayers and plan participants to ensure the best possible management of its health care benefits. To responsibly manage UC resources, it is essential that health plan members enroll only those family members who are eligible for UC-sponsored health insurance — and de-enroll them if they lose eligibility. While all faculty and staff members have verified these relatives in the past, this reverification process is an opportunity for the university to ensure that information about enrolled family members is up to date.

Next Steps

In early April, Secova will contact employees and retirees who enrolled spouses, domestic partners, grandchildren or legal wards before Dec. 31, 2014, and who previously provided appropriate documentation to verify each family member’s eligibility. If you are included in the reverification process, you will receive a packet from Secova with information about eligibility and detailed instructions about what you need to do.

The reverification process will be much easier than the initial eligibility verification, since Secova only needs to verify that your family member is currently eligible. Secova will request only one document that shows the dependent is still eligible for health and welfare benefits. For example:

• Spouses and domestic partners: You will need to provide a current document that confirms your marriage or partnership — for instance, a federal income tax return, mortgage statement or current credit card statement listing both the employee and the spouse or domestic partner
• Grandchildren and legal wards: You will need to provide a current document that confirms the grandchild or legal ward is still your tax dependent and that you provide at least 50 percent of his or her support — for instance, a federal income tax return showing the individual is listed as a dependent

In early May, Secova will follow up with emails and phone calls reminding those selected for reverification to submit documents and offer assistance to those who have questions or concerns.

An appeals process conducted from June 15 through July 15 by a review team at the UC Office of the President will ensure that no dependents are de-enrolled from benefits in error.