Page 4 - 2016 Enrollment
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Dependents Social
Security Numbers
Employers are required to provide Eligibility
names and Social Security Numbers
to the federal government for each Regular full-time employee or part-time, seasonal, temporary, and other
individual enrolled for medical variable hour employees averaging 30 or more hours per week over a
coverage. This reporting requirement deined measurement period are eligible for coverage in our beneits
helps the federal government verify
compliance with the Health Care program.
Reform Individual Mandate.
If your dependent(s) has a SSN, Dependent coverage extends to legally married spouses and dependent
please provide their SSN during children. Dependent children include your natural child, stepchild, legally
enrollment. If your dependent(s) does adopted child, child placed for adoption, or a child for whom your or your
not have a SSN, you can still enroll spouse are legal responsible.
them for medical coverage; however,
you will need to sign a form with Coverage for dependent children continues until the end of the calendar
UnitedHealthcare called the SSN
Refusal Letter explaining why you are year in which your child turns 26 years of age. Unmarried children may
unable to provide SSN information for be eligible for continued coverage beyond that age if they cannot support
your enrolled dependent(s). Contact themselves due a mental or physical disability. In such a case, additional
HR Connect for more information. documentation is required.
Nortek
Dependents Social
Security Numbers
Employers are required to provide Eligibility
names and Social Security Numbers
to the federal government for each Regular full-time employee or part-time, seasonal, temporary, and other
individual enrolled for medical variable hour employees averaging 30 or more hours per week over a
coverage. This reporting requirement deined measurement period are eligible for coverage in our beneits
helps the federal government verify
compliance with the Health Care program.
Reform Individual Mandate.
If your dependent(s) has a SSN, Dependent coverage extends to legally married spouses and dependent
please provide their SSN during children. Dependent children include your natural child, stepchild, legally
enrollment. If your dependent(s) does adopted child, child placed for adoption, or a child for whom your or your
not have a SSN, you can still enroll spouse are legal responsible.
them for medical coverage; however,
you will need to sign a form with Coverage for dependent children continues until the end of the calendar
UnitedHealthcare called the SSN
Refusal Letter explaining why you are year in which your child turns 26 years of age. Unmarried children may
unable to provide SSN information for be eligible for continued coverage beyond that age if they cannot support
your enrolled dependent(s). Contact themselves due a mental or physical disability. In such a case, additional
HR Connect for more information. documentation is required.
Nortek