Eligibility & Dependents

Eligibility and Dependents

Who is Eligible

Full-time permanent employees
Part-time permanent employees who generally work at least 15 hours per week
Limited-Term Grant-Funded contract positions that include funding for medical benefits are eligible to participate in the Cigna PPO and HMO health care plan only, and
Active Accessors and Judges (Circuit and District Court)

Eligible Dependents

Eligible dependents include:

Your lawful spouse, as defined by the Federal Government; and
Children and stepchildren under the age of 26*.

Verifying Dependents

Dependent Type	Required Document(s)
Spouse	Government issued Marriage Certificate, AND Current proof of Joint Ownership*. If married in the past 12 months, only Government issued Marriage Certificate is required. Note: Submit a copy of Medicare card if your spouse is enrolled in Medicare.
Newborn Biological Child	Government issued Birth Certificate that includes parents’ names, AND Social Security Card Note: Birth Registration Notices are not accepted as dependent documentation.
Biological Child	Government issued Birth Certificate that includes parents’ names.
Adopted Child	Amended Government issued Birth Certificate that includes parents’ names or Adoption Certificate or Placement Agreement AND Social Security Card
Stepchild	Government issued Birth Certificate that includes parents’ name, AND Government issued Marriage Certificate.
Legal Ward	Government issued Birth Certificate, Court Ordered Document of Guardianship, AND Social Security Card.
Disabled Child	Documentation listed above AND Federal Tax Return within last 2 years claiming the child. Note: Disabled Adopted Children cannot verify with a placement agreement or petition.
Children who are the subjects of a Qualified Medical Child Support Order (QMCSO)	Qualified Medical Child Support Order required. This order creates the right of the children to receive health insurance benefits under an employee or retiree’s coverage.

* Standard Proof of Joint Ownership includes:

Mortgage Statement
Bank Statement (bank account verification letter showing active status)
Active lease agreement
Homeowners Insurance
Renters Insurance
State tax return (within 1 year)
Credit Card statement (includes department stores, and care credit)
Property Tax
Current-year state tax return listing spouse/partner
Current-year mortgage interest/mortgage insurance
Warranty deed
Auto loans
Current-year federal tax return listing the spouse

All documents must be submitted to the OHRM Benefits Division within 30 days of your date of hire, qualifying life event, or Open Enrollment. Unverified dependents will be dropped from coverage within 30 days of enrollment.

Complete the Dependent Verification Cover Form and send a copy of the required documentation:

Email: Benefits@co.pg.md.us
Fax: 301-883-6192Call: 301-883-6192
Mail or hand-deliver: 1400 McCormick Drive, Suite 110, Largo, MD 20774

If you are a new employee, we strongly encourage you to bring the required documentation to the New Employee Orientation.

* Child(ren) includes a natural child; a stepchild; a legally adopted child or a child legally placed for adoption; a child under your legal guardianship. Children who are physically or mentally incapable of self-support as determined by medical certification may continue on your County coverage beyond the normal age limit if the disability continues and the child remains unmarried. The child must already be covered under the plan. You may be asked to provide certification of the child's disability every two to three years. Documentation must be on file prior to the child reaching the limiting age.