6 Allowable Documents to Verify Dependent Eligibility Spouse • Copy of your marriage certificate Child • Copy of the birth certificate that shows the names of both the parent and the child • Final adoption papers • Legal documentation (e.g. court order) substantiating placement for adoption or legal guardianship with financial dependency • Copy of Qualified Medical Child Support Order requiring employee to provide support and health coverage, signed by the child support officer or judge Registered Domestic Partner • Copy of your State of California Certificate of Registration of Domestic Partnership. ABOUT YOUR BENEFITS If You and an Eligible Dependent Both Work for Scripps If both you and your spouse, registered domestic partner or child(ren) are employees of any Scripps business unit, you may not be covered as both a dependent and an employee under the Scripps Medical, Vision, Dental, and Life Insurance plans. Employees may cover one qualifying adult and dependent children, but no dependent(s) may be covered by more than one employee under the Plans. Spousal/Registered Domestic Partner (RDP) Surcharge Scripps believes that all employers have a responsibility for providing medical coverage for their employees, just as we do. Employees with a spouse or registered domestic partner who is eligible for medical coverage with his or her own employer and is covered on the Scripps Medical Plans will pay a $15 per pay period surcharge. If both you and your spouse or registered domestic partner are employees of any Scripps business unit, the spousal/RDP surcharge will not apply. Pre-tax and After-tax Deductions If the adult you cover is not your legal spouse, the cost per pay period for all dependents is taxable (or after-tax). For example, if you cover a registered domestic partner and your legal children, the portion of the premium attributable to the adult and the children will be taxable. In this example, the portion related to your coverage will be deducted before taxes are calculated (or “pre-tax”). Your paycheck stub will show two deductions — a pre-tax deduction for your coverage and an after-tax deduction for your dependent coverage.
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