When is Evidence of Eligibility Required?

Evidence of Eligibility (EOE) is the proof of relationship documentation to establish a dependent’s eligibility for insurance coverage. When initially adding an eligible dependent to an insurance plan an EOE will be required.

To add a new dependent in My UT Benefits, you need your dependent’s name, date of birth and Social Security Number (SSN). If your dependent is recently born or born in a different country and does not have an SSN or Taxpayer Identification Number, you can request a temporary benefits ID in My UT Benefits. Once the dependent has been assigned a permanent SSN or Taxpayer Identification Number please notify the HR Portal.

Elections for dependent insurance must be made by July 31. You must upload EOE proof of relationship documentation in My UT Benefits by August 15. A confirmation statement will be sent to you the day after Human Resources electronically reviews your dependent documentation.

If your EOE is approved, your dependent will be insured beginning September 1. The effective date of coverage for your dependent spouse may be impacted if completion of an Evidence of Insurability (EOI) is required.

If your EOE is not uploaded or unapproved, your dependent will not be added to the insurance plan and dependent premiums will not be applied.

Evidence of Eligibility: Proof of Relationship Documentation

Insurance Dependent	Eligibility	Required Proof of Relationship Documents
Spouse	For all plans: Your spouse is an individual to whom you are lawfully married, of the opposite or same sex.	Valid marriage certificate between subscriber and spouse issued by any state, or Declaration of Informal Marriage of subscriber and spouse issued by a Texas clerk or utilizing the form promulgated by Texas Department of Health and Human Services, or Declaration of Informal Marriage issued by another state, or Other documentation deemed acceptable by OEB
Biological Child	For the health plan: your child under age 26 regardless of marital status or military enlistment For all other plans: your unmarried child under age 25 who is not enlisted in the military	Birth Certificate of child
Adopted Child	For the health plan: your child under age 26 regardless of marital status or military enlistment For all other plans: your unmarried child under age 25 who is not enlisted in the military	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 the health plan: your child under age 26 regardless of marital status or military enlistment For all other plans: your unmarried child under age 25 who is not enlisted in the military	Birth Certificate of child, and Marriage certificate for you and the biological parent
Child under legal guardianship or conservatorship	For the health plan: your child under age 26 regardless of marital status or military enlistment For all other plans: your unmarried child under age 25 who is not enlisted in the military	Valid court order naming you as the child’s guardian or conservator
Grandchild	For all plans: your unmarried grandchild under age 25 if the child is your dependent for federal tax purposes	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