Verification of Dependent Eligibility

In certain circumstances, it may be necessary to verify whether or not a dependent is eligible as defined in your Certificate of Insurance or Group Policy. The following criteria is generally used for determining whether or not a Verification of Dependent Eligibility Form is necessary:

• Child’s last name differs from employee
• Parent’s divorced
• If dependent is identified as anything other than an adopted or step child.

These are the most common examples, but there may be other situations that occur that requires the use of the Verification of Dependent Eligibility form.

Procedure for Express Verification of Dependent Eligibility

1. The Verification of Dependent Eligibility questionnaire is presented during an Express initial enrollment or change in life status (if applicable). The questionnaire may be completed online and electronically submitted to Trustmark (allows for a quick turnaround), or printed, completed, and mailed to:
     Attn: Group Premium Department
     Trustmark Group Insurance
     P.O. Box 7904
     Lake Forest, IL 60045-7904
2. The request for coverage will be reviewed and the determination may be accessed in the View Pended Transactions section of Express.

Procedure for Manual Verification of Dependent Eligibility:

1. The employee must complete, sign and date the Verification of Dependent Eligibility form.
2. Review the form for accuracy and completeness and mail all copies to:
     Attn: Group Premium Department
     Trustmark Group Insurance
     P.O. Box 7904
     Lake Forest, IL 60045-7904
3. Trustmark will notify your organization when coverage has been approved.

Procedure for Express Verification of Dependent Eligibility for an Incapacitated Dependent

1. The Verification of Dependent Eligibility for an Incapacitated Dependent questionnaire is presented during an Express initial enrollment or change in life status (if applicable). The questionnaire may be filled online and then printed. The dependent's physician must complete and sign the bottom portion of the form. Submit the completed form with the appropriate medical information to:
     Attn: Group Premium Department
     Trustmark Group Insurance
     P.O. Box 7904
     Lake Forest, IL 60045-7904
2. The request for coverage will be reviewed and the determination may be accessed in the View Pended Transactions section of Express.

Procedure for Manual Verification of Dependent Eligibility for an Incapacitated Dependent:

1. The employee must complete, sign and date the Verification of Dependent Eligibility for an Incapacitated Dependent form. The dependent's physician must complete the bottom portion of the form.
2. Review the form for accuracy and completeness and mail all copies to:
     Attn: Group Premium Department
     Trustmark Group Insurance
     P.O. Box 7904
     Lake Forest, IL 60045-7904
3. Trustmark will notify your organization when coverage has been approved.