Dependent Eligibility Verification

Purpose

When you enroll your spouse/partner and/or eligible dependent children, in any of your CU medical, dental, vision, life insurance or tuition assistance benefits, as a New Hire or due to a Life Event, CU requires documentation to verify their eligibility.

You must submit documentation of eligibility for each dependent as listed in the Dependent Eligibility Verification (DEV) form (see below).  If you do not provide the necessary documentation, your unverified dependents will be removed from your benefits plans.

Eligible dependents for CU benefits

Individuals who are NOT eligible for CU benefits

When two members of a household are employed and/or retired with the university and/or university affiliates

Supporting documents

Imputed Income

The IRS uses the term imputed income to describe the value of any benefit or service that is considered income when calculating your federal taxes.  Know your taxation.  Some benefits and some dependent groups may be subject to taxation.  Learn what the IRS categorizes as imputed income.

Online form

Access and complete the online Dependent Eligibility Vertification in your employee portal:

  1. Log in to the employee portal
  2. In the CU Resources area, open the dropdown menu and select Forms
  3. Click the Benefits tile
  4. Click the Dependent Eligibility tile, and complete the form

Paper form

If you are unable to complete the Dependent Eligibility Verification in your employee portal, a paperform can be downloaded below. 

If you choose to click the employee portal option, remember to log into your portal before you click the link in the attached document. This will ensure you are routed to the correct place. 

Last updated: 2/2022

Download the form below.