N.J. Admin. Code § 17:9-3.3

Current through Register Vol. 56, No. 21, November 4, 2024

Section 17:9-3.3 - Certification of dependency

(a) An employee who elects to enroll an eligible dependent for any coverage shall report such dependent's relationship or status on the enrollment form and provide appropriate legal documentation for each dependent to be enrolled, verifying the dependent's relationship with the subscriber. Examples of acceptable documentation, as provided on the Division's website as Required Documentation for SHBP/SEHBP Dependent Eligibility and Enrollment, include birth certificates, marriage certificates, certificates of domestic partnership or civil union, divorce and separation decrees, custody agreements, and court orders. This list is not meant to be all inclusive and does not imply acceptance of any of the above without proper authentication.

(b) A person who, although listed as an eligible dependent, is found to be ineligible, shall be removed from coverage by the SHBP and the level of coverage of the employee or retiree shall be adjusted accordingly. Coverage for that person as a dependent shall be restored if acceptable documentation is provided to the Division, by the employee, or retiree, within 60 days of written notification of the dependent's termination. If acceptable documentation is received after 60 days, the dependent shall not be restored retroactively and can only be added at the next permissible enrollment opportunity.

Amended by 48 N.J.R. 2387(a), effective 11/7/2016