Verify My Family Members

Important! Cameron is not eligible for benefits and will be dropped from coverage. If you have questions, please call the Service Center at 1-800-888-8888. You can view your Family Verification Confirmation at any time.

Thank you for answering the questions about Jamie Smith. If you haven't already, please submit your documents.

Family Member	Family Member Info	Coverage	Status	Deadline
Pat Smith	Spouse DOB 01/01/1970 SSN XXX-XX-1234	Spouse DOB 01/01/1970 SSN XXX-XX-1234	Medical Dental Vision	Medical Dental Vision	Approved	02/28/2017
Morgan Smith	Child DOB 08/22/2004 SSN XXX-XX-1111	Child DOB 08/22/2004 SSN XXX-XX-1111	Medical Dental	Medical Dental	Denied	03/01/2016	View Details
Cameron Smith	Child DOB 11/02/2007 SSN XXX-XX-1112	Child DOB 11/02/2007 SSN XXX-XX-1112	Medical Dental	Medical Dental	Failed to Respond	02/28/2017
Jamie Smith	Child DOB 10/25/2019 SSN XXX-XX-1114	Child DOB 10/25/2019 SSN XXX-XX-1114	Medical Dental	Medical Dental	Verify Now	11/28/2019	Submit Documents

Verify My Family Members

Answer the following questions for Jamie Smith (family member eligibilty requirements)

Do you certify that your family member is...
- your biological child, stepchild, adopted child, or
- a child placed for adoption with you, or
- a child whom you are obligated to provide health coverage under a QMSCO or a National Mecial Support Notice demmed to be a QMSCO?

Yes

Do you understand this is considered an employment document that must be completed accurately and truthfully? And, do you understand that if this information is not truthful, you may be subject to disciplinary action up to and including loss of coverage or termination of employment?

Yes

Health & Insurance

Verify My Family Members

Verify My Family Members