Listed below are the requirements for written notice and supporting documentation that you must provide when life events which can impact your coverage occur.
Life Events
| Written Notice Required?
| Evidence Required?
|
| Birth | YES – Must be received by the NY AFTRA H&R Office within 30 days after the birth. | YES – Copy of the recorded birth certificate must be received by the NY AFTRA H&R office within 30 days after the birth. EXCEPTION: If the recorded birth certificate is not available within 30 days after the birth, AFTRA H&R will accept a copy of an official birth record (such as a hospital release form that lists the mother's and child’s names). However, a copy of the recorded birth certificate must be received by the NY AFTRA H&R office within 90 days. |
| Adoption | YES – Must be received by the NY AFTRA H&R office within 30 days after the adoption or placement of the child in the home. | YES – Copy of the adoption papers issued by the court or a letter of placement by an adoption agency must be received by the NY AFTRA H&R office within 30 days of the adoption.
|
| Marriage | YES – Must be received by
the NY AFTRA H&R office within 30 days after the marriage. | YES – Copy of recorded marriage certificate must be received by the NY AFTRA H&R office within 30 days after the marriage
|
New Same-Sex Domestic Partner
| Yes – Download and complete a Dependent Change Form or contact Participant Services at (800) 562-4690. | YES – Fully executed and notarized forms including a Declaration of Same-Sex Domestic Partnership for Enrollment or Eligibility, Affidavit of Domestic Partnership, Registration of Domestic Partnership, an Affidavit of Dependency for Tax Purposes and a copy of the new domestic partner's birth certificate.
|
| Divorce | YES – Must be received by the NY AFTRA H&R office within 60 days after the judgment of Dissolution of Marriage.
| YES – Copy of the recorded judgment of Dissolution of Marriage. |
| Death of Participant or Dependent
| YES – Must be received by the NY AFTRA H&R office within 90 days after the date of death.
| YES – Copy of the recorded death certificate. |
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