Dependent Loses Other Qualifying Coverage

You are able to add your qualifying dependent to coverage mid-year if your dependent has lost coverage elsewhere due to a change in employment status (or changing coverage during open enrollment), being dropped from another employer group insurance plan, or due to a loss of AHCCCS. 

You may add your dependent to any coverage that has been lost (example: medical, dental, etc.).  In order to do so, within 31 days of the date your dependent loses coverage (60 days for loss of AHCCCS), the Benefits Office must receive the following:


ACTION ITEMS - DOCUMENTATION

Fax your completed paperwork to the Benefits Office at 791-5942.

Call (or email) after you fax to make sure we received it.

1. Your properly completed Change Form and

2. Proof of loss of other coverage

  • The proof must include:
    • Names of individuals who have lost coverage
    • Type of coverage lost (medical, dental, etc.)
    • Date coverage ended
  • It must be on letterhead (either from the insurance company, employer or government agency)
    • If it is from an employer, it must include the name, contact information and signature of the person in the HR benefits area who prepared the letter, so that we can confirm, as needed
    • If it's a printout from an online system, it must clearly demonstrate that the plan is an employer-sponsored plan (as opposed to a private plan)

Employees: Life insurance additions/increases may be made only during Open Enrollment, not mid-year due to life events.

3. If you are a retiree requesting to add dependent(s) to dental/vision, you will also need to provide proof of continuous dental/vision insurance for the 36 months immediately prior to the date you’ll be adding coverage with the City for each individual you'd like to add to coverage (including yourself, if you don't currently have City of Tucson dental/vision). 


DEPENDENTS ARE SUBJECT TO AUDIT

The City contracts with an outside audit firm to conduct eligibility verification audits. Generally, audits occur after the spring open enrollment, but they may occur at any time. If an individual isn't properly verified through the audit process, the individual will be removed from insurance, and you may be responsible for any claims paid. Please watch your home mail carefully to ensure that you don't miss deadlines.


WHEN WILL THE CHANGE GO INTO EFFECT?

Provided complete documentation is received by the deadline, the coverage change with the City of Tucson would be effective the first day of the month following the date your dependent lost coverage; however, if coverage is lost the first day of a month, the coverage change would be effective that same day. 


ADDITIONAL INFORMATION

Rates

Insurance Handbook

Coverage Information

  • Visit our Medical page for Summaries of Benefits and Coverage (SBCs).  You are also able to obtain hard copies of SBCs free of charge by requesting them from the Benefits Office (520-791-4597).

 

 

Thank you.

 

Your Insurance Benefits Team