New Employee Packet

 

HEALTH INSURANCE:

State Health Benefit Plan New Enrollee Decision Guide 2017

2017 Rates

State Health Benefit Plan New Enrollee Decision Guide 2018

2018 Rates

     PLEASE NOTE:   If you choose family coverage for your Health Insurance you must provide documentation for verification of all dependents as listed below.  If this documentation is not provided your dependents will not be eligible for benefits.

Relationship

Required Document(s)

Spouse

A copy of your certified marriage license OR a copy of your most recent Federal Tax Return (filed jointly with spouse) including legible signatures for you and your spouse with financial information blacked out.  Spouse's social security number must be on documentation. 

Natural Child

A copy of the certified birth certificate listing the parents by name.  Child's social security number must be on documentation.

Stepchild

1-A copy of certified birth certificate showing your spouse is the
    natural parent; and
2-A copy of certified marriage certificate showing the natural parent is
    your spouse; and
3-A notarized statement that the dependent lives in your home at
    least 180 days per year.  Stepchild's social security number must
    be on documentation.
 

Other Children

1-A court order, judgment, adoption papers, or other satisfactory proof
    from a court of competent jurisdiction, or as prescribed by law; and
2-An affidavit that the dependent depends on you for support and lives
    in your home at least 180 days per year.  Child's social security
    number must be on documentation.

 
 

 

 

 

 

 

 

 

 

 

 


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Southeast Health District
1101 Church Street
Waycross, GA 31501
P: 912-285-6002
F: 912-284-2980

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