Coverage
for Kids
Get the same great benefits for your kids.
If you work 120 hours or more per month, you can add your kids (through their 26th birthday) to your healthcare coverage plan.
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Coverage for Kids Plan Options
You can choose to add Medical and Dental or Dental-only coverage for your dependent children.
Whether your covering 1 kid or 4, the cost is the same! You’ll pay $25 for your coverage* plus an additional $100 or $10 for your kid(s).
*Individual coverage is required to add Coverage for Kids.
Individual Coverage
+ Coverage for Kids
Medical and Dental
$125/mo.
Monthly Co-premium
Get medical and dental coverage for yourself, plus your kids, for just $125 a month.
Individual Coverage
+ Coverage for Kids
Dental-Only
$35/mo.
Monthly Co-premium
Get medical and dental coverage for yourself, plus dental coverage for your kids, for just $35 a month.
Eligibility
You must work 120 paid hours or more a month to be eligible for Coverage for Kids.
You can add eligible children through their 26th birthday—including biological, adopted, stepchildren and children of your domestic partner.
How do I maintain coverage?
Once you have coverage, you must do the following to maintain continuous healthcare coverage.
1. Work your required hours.
- You must work 120 paid hours or more per month to keep Coverage for Kids (dependent coverage).
- If your hours fall below 120, but remain above 80, you will lose Coverage for Kids but keep your own coverage.
2. Report your hours on time.
- You’ll lose coverage if you don’t report your work hours on time.
- You must submit late hours or adjustments with your employer within 60 days of the worked month.
3. Pay your full monthly co-premium.
Applying
- Complete an application and fill out the Coverage for Kids section.
- Choose a dependent coverage option, medical and dental or dental-only.
- Submit your Dependent Verification.
How do I apply?
The easiest way to apply or make changes is online.
Learn how to access your Health Benefits Account.
If you receive a Health Benefits Application you can mail or fax the completed application to the address or fax number listed on the application. U.S. postage is required.
You’ll receive an application receipt by email or through your health benefits account within 1 day and a coverage decision by letter or email within 30 days. If not, call 1-877-606-6705.
FAQs
When can I apply?
There are 3 times when you can apply for coverage:
1. Initial Eligibility: Within 60 days of the date on your newly eligible enrollment materials. Initial eligibility is when you become eligible for the first time.
2. Open Enrollment: July 1-20 each year.
If you’re already enrolled your coverage renews automatically, no action is needed unless you want to make changes.
3. Qualifying Life Event (QLE): Within 30 days of a QLE that changes your health insurance needs. Examples of QLEs include adopting a baby, losing other healthcare coverage or getting a divorce.
When will coverage begin?
Open Enrollment:
Submit applications or changes by July 20 for coverage starting August 1.
Initial Eligibility and Qualifying Life Events:
Coverage begins on the 1st of the month after your application is received and processed, which takes about 2 weeks. For example, if your completed application is received:
- by March 15, coverage will begin April 1.
- between March 16 – 31, coverage will begin May 1.
Coverage for Kids can’t begin until after your dependent verification is received and processed.
What plan do they get?
Children are enrolled in the same medical and dental plan as you.
They can only be enrolled under 1 caregiver. Coverage can coordinate with outside plans if your children have additional coverage. For more information, call 1-877-606-6705.
Can my child have co-coverage?
If you and your spouse both have coverage through SEIU Healthcare NW Health Benefits Trust, your child may only be enrolled on one parent’s plan.
Your child’s coverage can be coordinated with other outside healthcare coverage. For more information, please call 1-877-606-6705.
Dependent Verification
You must submit your Dependent Verification documents with your application or within 60 days of applying. Coverage can’t begin until your documents are received.
- You need to submit a Dependent Verification for each child.*
- Submit copies only and not the originals.
- Label each document with your full name and the last four digits of your Social Security number.
*Dependent Verification is needed when enrolling children for the first time. You don’t need to resubmit, unless requested.
Accepted Dependent Verification Documents
Biological Children
To enroll your biological children (children by birth) in Coverage for Kids, you must submit one of these documents for each child:
- A copy of your recent year’s federal tax return which includes the child’s/children’s name(s) listed as dependents*. Be sure to cover up/hide any financial information (such as account numbers, wage amounts).
- A copy of a government-issued birth certificate that includes your name as a parent.
- A copy of the hospital certificate with the child’s footprints. It must show the name of the parent who is the subscriber (the person applying for coverage).
- A copy of the child’s court-ordered parenting plan.
- A copy of the child’s National Medical Support Notice.
- Defense Enrollment Eligibility Reporting System (DEERS) registration.
- Valid J-2 visa issued by U.S. Government.
*If enrolling more than one child, and your tax return lists all of their names, you only need to upload one copy.
Children of a Spouse (Stepchildren)
To enroll children of your spouse (stepchildren) in Coverage for Kids, you must submit one of these documents (document combinations) for each child:
- A copy of a government-issued birth certificate that includes your spouses name as well as one of the following:
- A government-issued marriage certificate demonstrating relationship to your spouse.
- A copy of your most recent year’s federal tax return (if married filing jointly), which lists your spouse’s name.
- Proof of joint ownership (mortgage statements, bank statements, credit card statements, lease/rental agreements).
- A copy of your recent year’s federal tax return which includes the child’s/children’s name(s) listed as dependents*. Be sure to cover up/hide any financial information (such as account numbers, wage amounts).
- A copy of the child’s court-ordered parenting plan.
- A copy of the child’s National Medical Support Notice.
- Defense Enrollment Eligibility Reporting System (DEERS) registration.
- Valid J-2 visa issued by U.S. Government.
*If enrolling more than one child, and your tax return lists all of their names, you only need to upload one copy.
Children of a Domestic Partner
To enroll children of your domestic partner in Coverage for Kids, you will need to fill out an affidavit form. Call 1-877-606-6705 for more information.
You must include 2 total documents supporting your relationship to your partner and the relationship of your partner to their child.
Acceptable documents supporting the relationship of your partner to the child:
- Child’s birth certificate with your partner’s name listed.
- Court order or court-ordered parent plan naming your partner as the legal guardian.
- The most recent year’s federal tax return that includes the child(ren) as a dependent(s) and listed as their child. Make sure to black out your financial information.
- National Medical Support Notice.
- Defense Enrollment Eligibility Reporting System (DEERS) registration.
- Valid J-2 visa issued by U.S. Government.
Acceptable documents supporting your relationship to your partner:
- Federal tax return within the last 2 years with your partner listed.
- Proof of joint ownership (mortgage, bank, or credit card statements, lease/rental agreements).
Adopted Children
To enroll your adopted children in Coverage for Kids, you must submit one of these documents for each child:
- A copy of your recent year’s federal tax return which includes the child’s/children’s name(s) listed as dependents*. Be sure to cover up/hide any financial information (such as account numbers, wage amounts).
- A copy of the child’s certificate or decree of adoption. An adoption placement document must have both the child’s name and the parents’ name(s).
- A copy of the child’s court-ordered parenting plan.
- A copy of the child’s National Medical Support Notice.
- Defense Enrollment Eligibility Reporting System (DEERS) registration.
- Valid J-2 visa issued by U.S. Government.
*If enrolling more than one child, and your tax return lists all of their names, you only need to upload one copy.
Foster Children
To enroll your foster children in Coverage for Kids, you must submit one of these documents for each child:
- A copy of your recent year’s federal tax return which includes the child’s/children’s name(s) listed as dependents*. Be sure to cover up/hide any financial information (such as account numbers, wage amounts).
- A copy of your foster child certification and documentation of regular and substantial support of the child.
- A copy of the child’s court-ordered parenting plan.
- A copy of the child’s National Medical Support Notice.
- Defense Enrollment Eligibility Reporting System (DEERS) registration.
- Valid J-2 visa issued by U.S. Government.
*If enrolling more than one child, and your tax return lists all of their names, you only need to upload one copy.
Legal guardianship
To enroll children you have legal guardianship over in Coverage for Kids, you must submit one of these documents for each child:
- A copy of your recent year’s federal tax return which includes the child’s/children’s name(s) listed as dependents*. Be sure to cover up/hide any financial information (such as account numbers, wage amounts).
- A copy of a government-issued document that shows legal guardianship status.
- A copy of the child’s court-ordered parenting plan.
- A copy of the child’s National Medical Support Notice.
- Defense Enrollment Eligibility Reporting System (DEERS) registration.
- Valid J-2 visa issued by U.S. Government.
*If enrolling more than one child, and your tax return lists all of their names, you only need to upload one copy.
Health Benefits Account
- Check your eligibility for health benefits.
- Apply for or manage healthcare coverage.
- Get live chat support.
- Access plan documents & forms.
Health Benefits Account
Easily manage your health benefits online. Create an account to check your eligibility for benefits, apply for healthcare coverage and more.
Health Benefits Support
Get help with coverage, eligibility, applying and more by visiting the support page or calling Customer Service at 1-877-606-6705.
Healthcare Coverage Eligibility
Learn about how to qualify for healthcare coverage for you or your kids and how the hours you work effect your coverage.
Common Healthcare Coverage Terms
Learn the definitions of common insurance terms and definitions to better understand your insurance plan.