To enroll your dependent child for coverage under the Plan, submit a completed Dependent Child Enrollment Form or Information Verification Form along with a copy of the birth certificate or adoption papers to the Fund Office. If you are not married to your child’s birth mother/father, then you would also need to complete a Dependent Affidavit Form, have it notarized, and submit it to the Fund Office with any supporting documents. You must submit the completed enrollment form with the appropriate documentation to the Fund Office within 60 days of the event. If you do not enroll your dependent in 60 days, claims will be denied until you submit the required information.
Your birth child is eligible for coverage on the date of his or her birth. If you adopt a child, have a child placed with you for legal guardianship, or acquire a stepchild through marriage, he or she will be eligible for coverage on the date of placement or marriage, as long as you are responsible for healthcare coverage and your child meets the Plan’s definition of a dependent child.