Spousal Verification
Spousal verification ensures our benefit plan is administered fairly and consistently. As part of our ongoing eligibility review, we are verifying that all enrolled spouses and partners meet the plan’s eligibility requirements.
This page provides a convenient way for you to complete the verification process and securely upload the required documentation. We understand gathering documentation may feel inconvenient; however, this step is necessary to maintain compliance with plan rules and federal regulations.
If you are covering a spouse or partner on our healthcare plan, you must complete this verification process by March 20, 2026. If verification is not completed by that date, a $300 per month surcharge will be added to your health insurance premium beginning April 1, 2026.
To ensure the security of your personal information, responses and documentation cannot be submitted via email. All materials must be submitted through the secure form below.
Instructions
As outlined during enrollment, employees who elect coverage for a spouse or domestic partner who has access to other available health insurance are subject to a $300 per month premium surcharge. Other available coverage includes, but is not limited to:
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Medical coverage through their employer
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Retiree medical coverage
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Medicare or Medicaid
BEFORE YOU BEGIN!
Each of the following documents is required for verification. For your convenience, documents can be uploaded either as a PDF or an image (picture from your phone).
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Copy of Marriage Certificate or Registration of Domestic Partnership
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Proof of Joint Financial Responsibility listing you and your spouse/partner (examples include a utility bill, mortgage statement, or joint non-health insurance policy less than 90 days old)
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Page 1 of your most recent Tax Form 1040
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If your spouse/partner is employed or self-employed, the signed Employer Verification Form
Missing a document? See the Verification FAQs for support on securing required documents.