• Required Documentation

    See Also: Dependent Eligibility Guidelines
    See Also: Employee Eligibility Guidelines

    The documents listed in the expandable sections below are acceptable proof of dependent, and OEAI eligibility for insurance coverage. Click the dependent type you wish to add to your coverage to view the required documentation. See Employee Eligibility Guidelines for more detailed eligibility information.

    Documents must be provided to the MI HR Service Center via fax or mail, or delivered in person, within 31 days of a qualifying life event occurring. Contact information is provided at the bottom of this page. Legible copies are required for each type of document. Please do not provide originals; documents will not be returned.

    Benefit Effective Dates

    Newly Hired Employees: Benefits will be effective the first day of the new pay-period starting after you call the MI HR Service Center (877-766-6447) to enroll. Newly hired employees must call MI HR within 31 days of their hire date to enroll in benefits. Benefits are not effective immediately upon hire or immediately after contacting MI HR to enroll.

    Benefits Open Enrollment (BOE): Any newly-elected benefits or changes made during BOE will go into effect on January 1 of the following year.

    Benefits Open Enrollment

    The MI HR Service Center must receive your emailed, mailed, or faxed proof of eligibility documentation by November 12, 2021.

    Life Events

    To add or change eligible dependents due to a qualifying life event (e.g.: marriage, birth, divorce), call the MI HR Service Center (877-766-6447)  as soon as possible, no later than 31 days following the life event. Do not wait until you have the official documentation. All supporting documentation must also be provided within 31 days of the qualifying life event.

Health, Dental, Vision, and Dependent Life Insurance

  • Adopted Child
    • Adoption Papers or a notarizied sworn statement with the date of placement
  • Biological Child
    • Birth Certificate (hospital verifications not accepted)
  • Foster Child
    • Court Document placing the child in the employee’s home for foster care
  • Grandchild
    • Birth Certificate (hospital verifications are not accepted)
    • Documentation proving you provide at least 50% support to the parent of the grandchild (e.g., copy of most recent federal 1040 form filed showing the grandchild’s parent was claimed as a dependent)
    • Student Verification of Eligibility Form (CS-1830)  
    • School Records proving the grandchild's parent is regularly attending an accredited educational institution (e.g., class schedule, transcript)

    Note: For a grandchild to be eligible, the grandchild's parent must be a covered dependent AND, from 19 up to their 25th birthday, a student as well.

  • Incapacitated Child
    • Birth Certificate (hospital verifications not accepted)

    • Verification Documentation that the child’s condition was confirmed by the insurance carrier before the child reached the usual age limit for coverage

  • Legal Guardianship
    • Court-Ordered Letters of Guardianship

  • Loss of Coverage
    • Document Detailing Loss of Coverage from employer or insurance carrier, specifying the benefits for which coverage has been lost (e.g., health, vision, dental), last date of coverage, and individuals covered

  • Spouse
    • Marriage Certificate

  • Step-Child
    • Birth Certificate (hospital verifications not accepted)

    • Marriage Certificate

Health Only

  • OEAI (Other Eligible Adult Individual)
    • OEAI Enrollment Application & Affidavit (CS-1833)

    • Joint Residency Documentation establishing shared residency for the past 12 months (e.g. bank statement, utility bill, lease agreement)

    • Proof of Age (e.g. birth certificate, passport, driver’s license, or other governmental document)

  • OEAI Dependent


    Any of the four documents below, establishing the relationship between the OEAI and the OEAI dependent(s) you wish to enroll:

    • Birth Certificate (hospital verifications not accepted)

    • Adoption Papers or sworn statement with the date of placement

    • Court Document placing the child in the employee’s home for foster care

    • Court-Ordered Letters of Guardianship

    Note: Dependent children of an OEAI may enroll in health insurance only up to their 26th birthday with a CS-1833 and the same required documentation that applies to equivalent dependent children of employees. Coverage will terminate at the end of the month in which the dependent turns 26.

Removal From Insurance

  • If you have questions on documentation requirements,
    contact the MI HR Service Center at: 877-766-6447
    Email Documents:
    Fax Documents: 517-241-5892
    Mail Documents: MI HR Service Center, P.O. Box 30002, Lansing, MI 48909
    Note: Auditor General and Judicial must submit the required documentation to their HR office.