Page 21 - 2015 Enrollment Guide
P. 21
American Air Filter
Documentation you
Type of need to provide
Dependent Eligibility Requirements Photocopies are
acceptable
Child for Whom X Under age 26 X Certiied court-
the Employee approved
or Spouse/ X The employee, employee’s spouse or employee’s domestic partner is the child’s
Domestic legal guardian guardianship papers
Partner is Legal AND must satisfy one of the two tests below AND
Guardian X Copy of most
Test 1 recent federal tax
X The child has been placed with you, your spouse, or your domestic partner return (irst and last
by judgment, decree, or other order of any court of competent jurisdiction pages only; please
(meaning the court has ordered the child to live in your home) black out earnings
information)
Test 2
X The child is a citizen of the United States, a national of the United States or a
resident of the United States, Canada or Mexico
Dependent Verification Options for Submitting the
As part of our ongoing initiative to manage cost, AAF requires all Documents
Send the documents for each
X
newly-added dependents to be veriied. If you enroll a new dependent dependent to Corporate Beneits
onto AAF’s beneit plans, the Benetrac system will pend your Department via fax or scan in
election until you provide documentation to verify the newly enrolled PDF format
dependent(s) as eligible. Dependents which you add to the beneit plan
will not be covered unless you complete the dependent veriication X Return the documents for each
process. If you do not comply with this requirement, your newly dependent to your Human
enrolled dependent(s) will be removed from the plan(s), coverage will Resources Department
be adjusted accordingly, and the affected dependent(s) will not be Email: beneits@aaintl.com
eligible to re-enroll until the next open enrollment period. Fax: (502) 637-0452
Dependent Verification Requirements
X Upon entering your request to add a dependent via Benetrac, you
must provide documentation.
X Submit a COPY of the document(s) and make sure the copy is
clear. You should NOT submit an original document.
21
Documentation you
Type of need to provide
Dependent Eligibility Requirements Photocopies are
acceptable
Child for Whom X Under age 26 X Certiied court-
the Employee approved
or Spouse/ X The employee, employee’s spouse or employee’s domestic partner is the child’s
Domestic legal guardian guardianship papers
Partner is Legal AND must satisfy one of the two tests below AND
Guardian X Copy of most
Test 1 recent federal tax
X The child has been placed with you, your spouse, or your domestic partner return (irst and last
by judgment, decree, or other order of any court of competent jurisdiction pages only; please
(meaning the court has ordered the child to live in your home) black out earnings
information)
Test 2
X The child is a citizen of the United States, a national of the United States or a
resident of the United States, Canada or Mexico
Dependent Verification Options for Submitting the
As part of our ongoing initiative to manage cost, AAF requires all Documents
Send the documents for each
X
newly-added dependents to be veriied. If you enroll a new dependent dependent to Corporate Beneits
onto AAF’s beneit plans, the Benetrac system will pend your Department via fax or scan in
election until you provide documentation to verify the newly enrolled PDF format
dependent(s) as eligible. Dependents which you add to the beneit plan
will not be covered unless you complete the dependent veriication X Return the documents for each
process. If you do not comply with this requirement, your newly dependent to your Human
enrolled dependent(s) will be removed from the plan(s), coverage will Resources Department
be adjusted accordingly, and the affected dependent(s) will not be Email: beneits@aaintl.com
eligible to re-enroll until the next open enrollment period. Fax: (502) 637-0452
Dependent Verification Requirements
X Upon entering your request to add a dependent via Benetrac, you
must provide documentation.
X Submit a COPY of the document(s) and make sure the copy is
clear. You should NOT submit an original document.
21
