APPLY
VISIT
GIVE
The eligibility of your family members will be re-verified once every three years. The re-verification period is based on your birth month. The following chart illustrates the schedule:
Year of Re-verification | ||||||
| 2021 | 2022 | 2023 | 2024 | 2025 | 2026 |
Employee Birth Month | January April | February | March | January April | February | March |
This three-year cycle repeats. Employees enrolling family members within six months of their birth month will re-verify their eligibility at the next cycle. Example: An employee with the August birth month enrolls a spouse in May 2021. The eligibility of this spouse will be re-verified in 2024.
Ninety (90) calendar days before your birth month, CalPERS will send you a letter providing the re-verification due date, listing the enrolled family members for re-verification and the acceptable re-verification documents. You are to promptly provide re-verification documents to your campus benefit office. The benefit office will re-verify the same family members for dental benefits, if enrolled.
Delay in providing re-verification documents to your benefit office may result in your family members losing health and/or dental coverage. The disenrollment process begins the first week of your birth month.
Benefits office will keep all documents used in the DRV process in your benefit file without a purge date.
You should provide copies of the documents and write “Not for Official Use” on them.
Dependent Type | Required Re-verification Documents |
Spouse or Domestic Partner | A copy of the marriage certificate or domestic partnership registration filed with the California Secretary of State or a comparable agency in another jurisdiction listing the family member as the domestic partner. AND A copy of the first page of the employee’s federal or state income tax return from the previous tax year listing the employee and the spouse or domestic partner. OR A combination of other documentation, including but not limited to, a household bill, account statement, or insurance policy listing the name and address of the employee and the spouse or domestic partner, or other documents that substantiate the existence of a current marriage or domestic partnership. Household bills and account statements older than 60 calendar days are unacceptable. |
Natural-born Children | A copy of the birth certificate naming the employee as the parent. |
Adopted Children | A copy of the birth certificate or adoption certificate naming the employee as the parent. |
Stepchildren | A copy of the birth certificate naming the employee’s current spouse as the parent. |
Domestic Partner Children | A copy of the birth certificate naming the employee’s current domestic partner as the parent. |
The first document establishes the life event allowing the enrollment of the dependent (i.e., marriage or registering as domestic partners), while the second required document substantiates the relationship is current.
You will be responsible for any charge related to obtaining copies of the required documents.
Providing a copy of the documents for the initial DEV cycle will enable a more direct process for your campus benefit office to re-verify your family members. Benefit offices will keep all documents used in the DEV process in your benefit file without a purge date. In subsequent re-verifications, you need not provide birth certificates for natural-born children or adoption certificates for adopted children again. You also need not provide the marriage certificate, domestic partnership registration, and birth certificates for stepchildren or domestic partner children if the marriage or domestic partnership remains current.
HMS securely destroyed the documents received during the DEV project to protect the privacy of you and your family members.
If you do not respond or provide the required documents to your benefit office during your re-verification cycle, CalPERS will remove your family members from health benefits. Your benefit office will remove the same family members from dental benefits, if enrolled.
CalPERS will mail a Cancellation Notice to you 30 days prior to the first of your birth month if administratively removing your family members from health benefits. CalPERS will include Consolidated Omnibus Budget Reconciliation Act (COBRA) continuation of coverage information with this letter. The disenrollment of your family members is effective the first of the month after your birth month.
Benefits Services will inform you in writing explaining the removal of the same family members from dental benefits and the effective date, if enrolled. A letter with COBRA information will be provided.
Benefits Services will track your family members who are enrolled for dental benefits only, and re-verify their eligibility for continued coverage once every three years, following the DEV schedule.
If Benefits Services removes your family members who are enrolled for dental benefits only, you will be informed in writing who will be dis-enrolled and the effective date, and provided COBRA information.
If you provide re-verification documents for dis-enrolled, eligible dependents after the first day of your birth month but before the last day of your birth month, your campus benefit office may rescind the dependent deletion. YOU MAY INCUR AN ACCOUNTS RECEIVABLE FOR THE UNPAID PREMIUM FOR THE MONTH AFTER YOUR BIRTH MONTH.
If you provide re-verification documents for dis-enrolled, eligible dependents after the birth month, your benefit office re-enrolls the family members prospectively (first of the month following receipt of documents) for health and/or dental benefits. THIS WILL RESULT IN A GAP IN THE DEPENDENTS BENEFIT COVERAGE. COBRA continuation of coverage is an option for dependents during the lapse in coverage.