Monday, February 20, 2012

My employers has denied health benefits to my 6 year old daughter. I have provided her Birth Certificate,?

My employers has denied health benefits to my 6 year old daughter. I have provided her Birth Certificate, Social Security, a letter from the State responding to my child support application, Child care invoices and they said I don't have enough documents to proof that she's my dependent. What can I do?My employers has denied health benefits to my 6 year old daughter. I have provided her Birth Certificate,?First, ask them to tell you EXACTLY what they need, and tell them you want it in writing, in a simple step-by-step list.



Then, if you've already given them everything their letter says they need, file a complaint with your state's Insurance Commissioner.



Are you already covered under this insurance? Why hasn't your daughter been covered by it? Is this a change in insurance because of a change in custody? If that's the case, they may need proof that you in fact have a custody order.



Have you given them a copy of your latest tax return that shows her listed as your dependent? That's the only document left for them to ask for.



The only other thing I can think of is this: your insurance card has a phone number on it for the insurance company. Call them directly and tell them you need their help in untangling red tape about adding a dependent.



TAKE NOTES OF EVERY CONVERSATION. Write down the phone number you called, the date and time, and get the name of the person you talk to. They may have a badge number or a rep number or an ID number, so be sure to ask them if they have a badge or id number. Take notes. Be careful how you word the things you say, and be sure you have written down ahead of time the major questions you need to ask. Take careful notes on what they tell you.



If the person you're talking to can't or won't give you a straight answer, tell them you would like your inquiry to be escalated to a supervisor. When they transfer you, be sure you go through the whole name/badge/id routine.



Keep asking to be escalated to the next supervisor if you have to.



Here's the thing - in all the years that I've dealt with payroll and benefits, I've never yet had any problems adding an employee's child to a policy after a change in custody and child support. Unless your employer is doing a self-insured insurance plan, it isn't their decision on when or whether you can add your child - the insurance company determines that. So it may not be your employer who is saying "no," but the insurance company itself. If so, you need someone at the insurance company to talk to you.



You always have the recourse of filing a complaint with your state's Insurance Commissioner. This is where you will need those notes from your phone calls, any emails or faxes to and from the insurance company, and a copy of your insurance member benefits book.



Good luck.My employers has denied health benefits to my 6 year old daughter. I have provided her Birth Certificate,?
Look for a better place to work with a much better benefit package.My employers has denied health benefits to my 6 year old daughter. I have provided her Birth Certificate,?Are you divorced/separated? You need the court degree granting you custody, either sole custody or primary custody. That decree should also state who is responsible for maintaining the child's medical insurance -- mother or father. It's the court decree you need.My employers has denied health benefits to my 6 year old daughter. I have provided her Birth Certificate,?
if you are on the birth certificate I can not see how they can, take it above the heads of the person you have been dealing with so far, but certainly bring it to the attention of your HR person.My employers has denied health benefits to my 6 year old daughter. I have provided her Birth Certificate,?I'm not an expert on this, but if your employer's policy states it will provide insurance for dependents, then they need to add your daughter. A birth certificate should be plenty to prove she is your daughter. It has your name right on it, so I don't understand the problem. I suggest speaking with an attorney. It shouldn't matter who has custody of her as someone else suggested.

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