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Get the free Dependent Grandchild Certification for UT Benefits Coverage - mdanderson

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This document certifies a grandchild's eligibility for coverage under the University of Texas System Group Insurance Program, including necessary dependent information and acknowledgment of program
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How to fill out Dependent Grandchild Certification for UT Benefits Coverage

01
Obtain the Dependent Grandchild Certification form from the UT Benefits website or your HR department.
02
Fill in your personal details, including your name, employee ID, and contact information.
03
Provide information about your grandchild, including their name, date of birth, and relationship to you.
04
Attach necessary documents to prove your legal guardianship or dependency, such as a birth certificate or court documents.
05
Review all information for accuracy and completeness.
06
Sign and date the form to certify that all provided information is true.
07
Submit the completed form to your HR department or through the designated UT Benefits portal.

Who needs Dependent Grandchild Certification for UT Benefits Coverage?

01
Employees of UT who are legal guardians of their grandchildren and want to enroll them in UT Benefits coverage.
02
Grandparents who are financially responsible for their grandchildren and need to certify their dependency for benefits purposes.
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Dependent Grandchild Certification is a form required to verify the eligibility of a grandchild as a dependent for benefits coverage under the University of Texas (UT) system.
Individuals who wish to enroll their grandchild as a dependent for UT benefits coverage are required to file the Dependent Grandchild Certification.
To fill out the Dependent Grandchild Certification, individuals must provide their personal information, the grandchild's information, and any other required documentation to verify the grandchild's dependency status.
The purpose of the Dependent Grandchild Certification is to ensure that only eligible dependents are enrolled in UT benefits programs, thereby maintaining compliance with the university's policies.
The information that must be reported includes the name, birthdate, relationship of the grandchild to the employee, and any supporting documents that confirm the grandchild's eligibility as a dependent.
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