If you have PEIA insurance and cover your dependents, you will shortly need to provide proof that your children, spouses and other dependents qualify for health insurance. If you don't, your dependents' coverage could be canceled.
As you know, PEIA has been conducting its first full-scale dependent eligibility audit of all policyholders who have dependents and policyholders. As part of this, policyholders with dependents will receive, next week, “dependent eligibility verification” from Healthcare Data Management (HDM).
Once you get your letter from HDM, you will have to complete the forms and submit documentation -- such as proof of school enrollment for older children and copies of marriage and birth certificates -- to prove that your dependents qualify.
If you miss the deadline, your dependents' coverage will be canceled, according to PEIA.
PEIA says this is very common with businesses and other government organizations and their goal is to make sure that they are covering employees that are truly covered under PEIA and that their dependents" also qualify. Apparently the state wants to make sure that policyholders aren't claiming as dependents people who don't qualify -- such as ex-spouses or children ages 19 and older who aren't enrolled full-time in school.
If you have no dependents, you will not receive the dependent eligibility verification letter. So, make sure you don’t ignore mail from HDM and PEIA.