Eligibility

  • Employee: Must be an Academic or Medical Center salaried employee of UVA, full- or part-time, and regularly scheduled to work at least 20 hours/week (50% effort).

  • Spouses: Must be legally recognized as spouses in the Commonwealth of Virginia and have no access to Affordable Healthcare Coverage of minimum value (as defined by the Affordable Care Act) through their non-UVA employers.

  • Children: Must be your biological, step, adopted, or foster child, or any child declared a dependent on your federal tax return for whom you are the legal guardian with permanent custody. Children are eligible through December 31 of the year they turn age 26.

  • Children With Disabilities: Must be incapable of self-support due to a mental or physical disability. May continue beyond age 26 as long as

    • required documentation is approved in advance by the Aetna Claims Administrator prior to the dependent’s 26th birthday
    • they are unmarried
    • they live with you 100% of the time
    • they are declared a dependent on your federal tax return

      Contact Aetna Member Services at 1.800.987.9072 and the UVA Health Plan Ombudsman for assistance.

Qualifying Mid-Year Life Events: You can make changes to benefit elections during the plan year if you have a mid-year life event.

Required documents for qualifying mid-year life events


Required Documentation for Eligible Dependents

DEPENDENT’S RELATIONSHIP TO YOU ELIGIBILITY DEFINITION REQUIRED DOCUMENTATION
Spouse Marriage must be legally recognized in Commonwealth of Virginia

Ex-spouses are not eligible, even with court order
  • Copy of state-issued marriage certificate received after day of ceremony with recorded file date and
  • Copy of first two pages of employee’s most recent federal tax return (1040, 1040A, or 1040EZ form)
  • Page two must include signatures or e-file confirmation number. Mark out all financial information and first five digits of Social Security numbers.
  • Biological Child May be covered to the end of the year in which they turn 26
  • Copy of birth certificate showing employee as parent
  • Adopted Child May be covered to the end of the year in which they turn 26
  • Copy of birth certificate or court approved adoption order showing employee’s name; if this is a legal pre-adoptive agreement, it must be reviewed and approved by UHR Benefits Division
  • Stepchild (spouse’s biological child) May be covered to the end of the year in which they turn 26
  • Copy of birth certificate (or adoption agreement) showing employee’s spouse as parent and
  • Copy of state-issued marriage certificate received after date of ceremony with recorded file date showing the employee and dependent parent’s name, and one form of proof of joint custody and
  • Copy of the first two pages of employee’s most recent federal tax return (1040, 1040A, or 1040EZ form) that shows the dependent’s parent listed as “Spouse;” page 2 must include signatures or an e-file confirmation number; mark out financial information and first five digits of Social Security numbers
  • Foster Child May be covered to end of the year in which they turn 26
  • Copy of birth certificate and
  • Copy of Final Court Order granting permanent custody with name of employee as responsible party, name of minor children, and presiding judge’s signature, support order number, and seal
  • Child under your permanent legal guardianship or custody Children for whom a court has ordered the employee (and/or the employee’s legal spouse) to assume permanent custody may be covered to the end of the year in which they turn 26 if
  • they are unmarried
  • reside full-time with employee in parent-child relationship
  • are declared dependents on employee’s federal income tax return
  • custody was awarded prior to the child’s 18th birthday
  • Copy of birth certificate, and
  • Copy of the Final Court Order granting permanent custody with name of employee or spouse as responsible party, name of minor children, and presiding judge’s signature, support order number, and seal
  • Child under your permanent legal guardianship or custody – exception If employees (or their spouses) share permanent custody of a child with their minor child (who is the parent), the child may be covered if he/she, the minor child (parent), and the employee’s spouse (if applicable)
  • live in the same household as the employee
  • both children are unmarried
  • both children are declared as dependents on the employee’s federal tax return
  • a court has ordered the employee or the employee’s spouse to assume joint permanent custody
  • Copy of the child’s birth certificate showing the name of the minor child as the parent and
  • Copy of the birth certificate (or adoptive agreement) for the minor child showing the name of the employee and
  • Copy of the Final Court Order granting custody with names of employee or spouse and their minor child as the responsible parties, name of the child, and presiding judge’s signature, support order number, and seal