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This form is used by Washington University employees to verify the eligibility of their dependents for health and dental plan coverage.
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How to fill out washington university healthdental plan
How to fill out WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT
01
Obtain the Washington University Health/Dental Plan Dependent Verification Affidavit form from the university's website or HR department.
02
Fill in your personal information at the top of the form, including your name, employee ID, and contact information.
03
List your dependents, including their names, dates of birth, and relationship to you.
04
Attach the necessary supporting documentation for each dependent, such as birth certificates, marriage certificates, or tax returns.
05
Review the completed affidavit for accuracy and completeness.
06
Sign and date the affidavit, certifying that the information provided is true and correct.
07
Submit the affidavit and any supporting documents as instructed, either online or via mail.
Who needs WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT?
01
Employees of Washington University who wish to enroll their dependents in the health/dental insurance plan.
02
Individuals who have a change in dependent status, such as marriage or the birth of a child.
03
Employees who are required to verify the eligibility of their dependents for health/dental benefits.
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People Also Ask about
What is the dependent verification form?
By completing this form, employees are certifying that the information submitted is true and accurate and departmental personnel office representatives are certifying that they have received and reviewed supporting documents to verify an employee's dependent eligibility.
What is dependent verification?
You need to prove you're entitled to claim the dependent Secure copies of birth certificates, proof of identity and documents that show your dependent lived with you at the same address for more than half of the calendar year.
What is the dependent eligibility verification process?
What is a dependent eligibility verification? A Dependent Eligibility Verification (DEV) is simply the process by which you verify the relationship between the participant and their dependents to ensure they should in fact be eligible for coverage.
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What is WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT?
The WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT is a document used to verify the eligibility of dependents for health and dental benefits provided by Washington University.
Who is required to file WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT?
Employees of Washington University who wish to enroll their dependents in the health and dental plans are required to file the WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT.
How to fill out WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT?
To fill out the WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT, individuals must provide personal information, details of the dependents, and accompanying documentation that verifies the relationship and eligibility of each dependent.
What is the purpose of WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT?
The purpose of the WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT is to ensure that only eligible dependents receive health and dental benefits and to maintain compliance with insurance regulations.
What information must be reported on WASHINGTON UNIVERSITY HEALTH/DENTAL PLAN DEPENDENT VERIFICATION AFFIDAVIT?
The affidavit must report information such as the employee's identification details, the names and relationships of all dependents being covered, and any necessary supporting documentation that proves the relationship, like birth certificates or marriage licenses.
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