If you add dependents during Open Enrollment, you will receive a letter requesting documentation to verify the new dependent that was added to coverage to ensure the dependent is “eligible” to be covered on the County’s plan. The letter will include detailed instructions on how and where to submit your documentation. For dependents currently on your plan, you will not need to reverify eligibility.

Spouse

Age: N/A

Eligibility Definition: Person to whom you are legally married

Documents Required for Verifying Eligibility: Marriage Certificate

Domestic Partners

Age: At least 18 years old

Eligibility Definition: Meet County Domestic Partner Eligibility Requirements

Documents Required for Verifying Eligibility:

 

Natural Child(ren)

Age: Under Age 26

Eligibility Definition: Minor or Adult Child(ren) of Employee who is under age 26yrs

Documents Required for Verifying Eligibility: Birth Certificate

Step Child(ren)

Age: Under Age 26

Eligibility Definition: Minor or Adult Child(ren) of Employee Spouse who is under age 26yrs

Documents Required for Verifying Eligibility:

  • Birth Certificate -and-
  • Marriage Certificate showing Spouse as Parent
Children Legally Adopted/Wards

Age: Under Age 26

Eligibility Definition: Minor or Adult Child(ren) legally adopted by Employee who is married or unmarried under age 26yrs

Documents Required for Verifying Eligibility:

  • Court documentation (Must include presiding Judge Signature & Court Seal) or-
  • Placement Agreement from a Licensed Adoption Agency
Children of Domestic Partners

Age: Under Age 26

Eligibility Definition: Minor or Adult Child(ren) of Employee Domestic Partner who is under age 26yrs

Documents Required for Verifying Eligibility

Disabled Children

Age: No age limit

Eligibility Definition: Natural Child, Step Child or Adopted Child of Employee who is over age 26yrs and incapable of self­care due to physical or mental illness.

Documents Required for Verifying Eligibility

  • Certification of Disability from Social Security or- 
  • Document of Disability from Physician if not SSA Certified 
Other Qualifying Relatives

Age: Under Age 24

Eligibility Definition

  • Meet Requirements of IRS Code Sec. 105(b)
  • Not married
  • Must be a full time student if over the age of 19.

Documents Required for Verifying Eligibility

Note: If you are married to a county employee or the dependent of a county employee and would like to enroll in benefits through them, please contact the Benefits Division at (650) 363-1919 or at benefits@smcgov.org for assistance in waiving your dental and vision coverage.