The table below lists the documentation needed to certify your dependents' eligibility for benefits.
You have 30 days from the date you add your dependent to fax or mail documentation to Stanford Benefits. Include your Stanford ID number on each document you submit.
Mail:
Stanford Benefits
P.O. Box 199747
Dallas, TX 75219-9747
Fax:
(855) 818-3246
Certify Your Dependents for Benefits Coverage
View a printable version of this table
Dependent's Relationship to You | Preferred Documentation | Alternate Documentation | Document Resources |
---|---|---|---|
Spouse, same or opposite sex (unless legally separated) | Marriage certificate |
|
|
Registered domestic partner | State of California Declaration of Domestic Partnership Certificate | Most recent California state (joint) tax return | State of California website |
Common Law spouse |
|
Most recent state (joint) tax return |
|
Natural children up to age 26 |
|
|
|
Stepchild(ren) up to age 26 | Birth certificate and marriage certificate |
|
|
Adopted child(ren) up to age 26 |
|
n/a |
|
Child(ren) up to age 26 for whom you are a legal guardian |
|
|
|
Child(ren) up to age 26 of your registered domestic partner, who depend on your support and lives with you in a regular parent/child relationship | State of California Declaration of Domestic Partnership Certificate and birth certificate |
|
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Adopted child(ren) up to age 26 of your registered domestic partner, who depend on your support and live with you in a regular parent/child relationship |
|
|
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Children up to age 26 for whom your registered domestic partner is the legal guardian |
|
|
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Child(ren) up to age 26 for whom the court has issues a Qualified Medical Child Support Order (QMCSO) | Qualified Child Support Order (QMCSO). If already submitted to Stanford, indicate to whom it was sent. | n/a |
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Unmarried children age 26 or over if dependent on your for primary financial support and maintenance due to a physical or mental disability, incapable of self-support and disability existed before age 19 |
Note: This audit verifies only dependent eligibility. Your medical carrier determines the child's disability status. |
Most recent state tax return |
|
View a printable version of this table
Important Notes
- You are responsible for providing any necessary translation of documents in a foreign language to English.
- If you have dependents that do not live with you at your home address, you need to contact the health plan prior to enrolling to verify if they live within the covered service area.