CalPERS guidelines for enrolling family members are as follows:
Your spouse or domestic partner can be added to your
health plan if done within 60 days after the date of your marriage or
registration of your domestic partnership. A copy of
your marriage certificate or Declaration of Domestic Partnership and your spouse's or domestic partner's Social Security
number are required. Former spouses and former domestic partners are not eligible.
Children are eligible for health coverage up to age 26. They are eligible even if they are married, do not live with you,
or are not students. Eligible children are defined as natural, adopted, step or domestic partner’s children under age
26. If your dependent is married, you may not enroll their spouse or children (unless the child is an economic
dependent of the employee). A birth certificate or adoption papers and Social Security number are required.
A child over age 26, and is incapable of self-support due to a mental or physical condition that existed prior to age 26,
may be included when you first enroll. A Questionnaire for the CalPERS Disabled Dependent Benefit Form (HBD-98)
and Medical Report for the CalPERS Disabled Dependent Benefit Form (HBD-34) must be approved by CalPERS prior to
enrollment and must be updated upon request.
Another person's child under age 26 may be eligible for coverage if you have been granted custody or joint custody by a
court or the child resides with you. Birth Certificate, Social Security Number and Affidavit of Eligibility of Economically-
Dependent Children Form (HBD-35) must be filed prior to enrollment and must be updated upon request.
You can add the following family members either at the time of enrollment or at a later date:
•
A spouse or registered domestic partner
•
Children age 18 or older not living in your home
•
Eligible children who are not in your custody
•
Dependents in the military, when they return to civilian life
Split Enrollments:
Members who are married or in a registered domestic partnership who both work, or works, for
agencies in the CalPERS
Health Program can enroll separately. If you and your spouse or domestic partner enrolls
separately, you must enroll all eligible family members, regardless of the relationship, under only one of you. Dependents
cannot be split between parents. For example, if a CalPERS member with children marries or registers a domestic
partnership with another CalPERS member with children and each member has their own enrollment in the CalPERS
Health Program, all children must be enrolled under one parent. The effective date of coverage will be the first of the
month following the date of marriage or domestic partnership registration. If split enrollments are discovered, they will
be retroactively corrected. You will be responsible for all costs incurred from the date the split enrollment began.
Dual Coverage:
You cannot be enrolled in a CalPERS health plan as a member and a dependent or as a dependent on two
enrollments. This is
called dual coverage and it is against the law. When dual coverage is discovered, the coverage will be
retroactively canceled. You may have to pay for all costs incurred from the date the dual coverage began.
