Documentation requirements

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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 from the delivery hospital to add a newborn to coverage (e.g., 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 as soon as it is available.

 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.
Unmarried Full-Time Student Over
Age 21
YES – Must be received by
the NY AFTRA H&R office each semester.
YES – A letter or transcript from the school verifying the dependent is enrolled as a full-time student and is attending classes must be received by
the NY AFTRA H&R office each semester.
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
Domestic Partner
NO – Contact the Participant Services Department to obtain an enrollment package (the forms also are available online). 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 copies of birth certificates.
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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