Evidence of Eligibility (EOE)

The evidence of eligibility (EOE) is documentation of the dependent(s) relationship. This information is required to enroll the dependent(s) on the UT group insurance plan.  If document(s) are not received prior to the enrollment deadline dependents will not be added to the insurance.

Insurance DependentEligibilityRequired Documents
SpouseFor all plans: your legally married spouse or common-law spouse with whom you’ve filed a Declaration of Informal Marriage.
  • Marriage Certificate, or
  • Declaration of Informal Marriage
Biological Child

For all plans: your child under age 26 regardless of marital status or military enlistment. Coverage for children expires at the end of the month in which they turn age 26.

 

  • Birth Certificate of child
Adopted Child

For all plans: your child under age 26 regardless of marital status or military enlistment. Coverage for children expires at the end of the month in which they turn age 26.

 

  • Birth Certificate of child, or
  • Valid court order of adoption, or
  • Valid pre-adoption placement order issued by a licensed child placement agency, or
  • Valid court order naming you as managing conservator of child
Stepchild

For all plans: your child under age 26 regardless of marital status or military enlistment. Coverage for children expires at the end of the month in which they turn age 26.

 

  • Birth Certificate of child, and
  • Marriage certificate for you and the biological parent
Child under legal guardianship or conservatorship

For all plans: your child under age 26 regardless of marital status or military enlistment. Coverage for children expires at the end of the month in which they turn age 26.

 

  • Valid court order naming you as the child’s guardian or conservator
GrandchildFor all plans: your unmarried grandchild under age 26 if the child is your dependent for federal tax purposes. Coverage for children expires at the end of the month in which they turn age 26.
  • Dependent Grandchild Certification, and
  • Birth Certificate of grandchild, and
  • Birth Certificate of biological parent, and
  • Most recent tax return indicating child is your financial dependent or school records in the absence of a tax return
Incapacitated Over Age 26 ChildCertain children over age 26 for all plans who are determined to be medically incapacitated by the UT System Office of Employee Benefits and are unable to provide their own support.
  • Birth Certificate of child, and
  • Proof of prior health coverage

Translation of Documents

A document in a language other than English or Spanish must be accompanied by a notarized, sworn affidavit by an independent third party indicating the document has been reviewed and translated.  The following is a list of local translation organizations and on campus departments that may be able to assist you:

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