Dependent Eligibility Verification (DEV) is the process of re-verifying the eligibility of your spouse, domestic partner, children, stepchildren, and domestic partner children (dependents) enrolled in health and/or dental benefits. To ensure only eligible dependents are enrolled in employer-sponsored health benefits, Government Code section 22843.1 and California Code of Regulations Section 599.855 mandates that you re-verify the eligibility of your dependents. Government Code section 22959 authorizes the review of your dependents’ dental benefits enrollment.

Re-Verification Schedule

Your dependents’ eligibility will be re-verified once every three years. The re-verification cycle is based on your birth month. The following chart illustrates the schedule:

Year of Verification 2021 2022 2023
Subscriber Birth Month January
April
July
October
February
May
August
November
March
June
September
December

This three-year cycle repeats. If you enroll dependent(s) within six months of your birth month, their eligibility will be re-verified during your next cycle.

The following is a detailed schedule of the process:

Your Birth Month Receive Your First Notice Receive Your Second Notice Receive Your Final Notice Deletion of Dependents
January October 2020 November 2020 December 2020 February 1, 2021
February November 2021 December 2021 January 2022 March 1, 2022
March December 2022 January 2023 February 2023 April 1, 2023
April January 2021 February 2021 March 2021 May 1, 2021
May February 2022 March 2022 April 2022 June 1, 2022
June March 2023 April 2023 May 2023 July 1, 2023
July May 2021 June 2021 July 2021 August 1, 2021
August May 2022 June 2022 July 2022 September 1, 2022
September June 2023 July 2023 August 2023 October 1, 2023
October July 2021 August 2021 September 2021 November 1, 2021
November August 2022 September 2022 October 2022 December 1, 2022
December September 2023 October 2023 November 2023 January 1, 2024

Re-Verifying Dependents

Dependents who require re-verification:

  • Current spouse
  • Current domestic partner as registered with the California Secretary of State’s Office or a comparable agency in another jurisdiction
  • Natural born*, adopted*, current step, or current domestic partner children up to age 26.

*These children will only need to be verified once during your re-verification as a retiree.

Note: The Dependent Re-verification doesn't include disabled dependent(s) or a parent-child relationship dependent(s) who are enrolled in employer-sponsored health and/or dental coverage. Disabled dependent(s) and parent-child relationship dependent(s) have a separate re-verification process. Dependents added to your health and/or dental enrollment within the last six months don't need to be re-verified during your re-verification due date. If you have a dependent who should be removed due to a qualifying event (i.e., divorce, dependent enters military, etc.), contact CalPERS immediately.

Ninety (90) calendar days before your birth month, CalPERS will send you a letter with the re-verification due date, a list of the enrolled dependent(s) you must verify, and the acceptable verification documents. You are to promptly provide re-verification documents to CalPERS. Upon receipt of all acceptable re-verification documents, CalPERS will verify your dependent(s) for health and/or dental benefits.

If you have previously provided the required documentation to re-verify each dependent’s eligibility outside of this effort or to your employer while working, the documentation must be provided again for any dependent(s) listed on the Dependent Verification Affidavit in order to comply with this requirement.

If you don't respond or provide the required documents to CalPERS during your re-verification cycle, CalPERS will remove your dependent(s) from your health and/or dental benefits.

CalPERS informs you the month before your birth month in writing if we administratively remove your dependent(s) from health and/or dental benefits. We'll include Consolidated Omnibus Budget Reconciliation Act (COBRA) continuation of coverage information with this letter. Your dependents' disenrollment takes effect the first of the month after your birth month. If you provide re-verification documents for disenrolled, eligible dependent(s) after the verification due date, CalPERS will re-enroll the dependent(s) prospectively for health and/or dental benefits. This will result in a gap of benefit coverage.

If you would like to review DEV letters, select the appropriate one below:

Required Documents

To ensure secure and timely processing of your dependent(s) re-verification, you may upload all required documents online and submit your Dependent Verification Affidavit electronically. Log into your myCalPERS account at my.calpers.gov, then click on the Health tab and select Health Plan Summary. On the Health Plan Summary page, click on the Verify Your Dependents Now link.

If sending copies of required documents via mail, submit your completed DEV Affidavit form together with all required documents for each dependent requiring re-verification. The DEV Affidavit form has a bar code that is unique to your account which allows the CalPERS team to more efficiently upload all documents to your myCalPERS account. Processing can take up to 30 days. Once your dependent(s) are verified, you'll receive a notification letter.

CalPERS will retain all your required dependent re-verification documents in your account. You may not be required to provide the government issued marriage certificate, domestic partnership registration, and birth certificates for stepchildren or domestic partner children if the marriage or domestic partnership remains current.

A copy of your government issued marriage certificate or domestic partnership registration filed with the California Secretary of State or a comparable agency in another jurisdiction listing the dependent as your spouse or domestic partner.

AND EITHER

A copy of the first page of your most recent federal or state income tax return from such as IRS Form 1040 confirming dependent as your spouse or domestic partner.

OR

A combination of other documentation, including but not limited to, a household bill, account statement, or insurance policy listing the name and address of the subscriber and the spouse or domestic partner, or other documents that substantiate the existence of a current marriage or domestic partnership. Household bills and account statements older than 60 calendar days are unacceptable.

*The first document establishes the life event allowing the enrollment of the dependent (i.e., marriage or registering as domestic partners). The second document substantiates the relationship is current.

Financial documents aren't required if your spouse or domestic partner is also a CalPERS, JRS, JRSII or LRS retiree (receiving their own retirement warrant) and has the same address as you. Inform CalPERS by checking the box on the Dependent Verification Affidavit.

If CalPERS determines that due to extenuating circumstances you are unable to produce a government issued marriage certificate or domestic partnership registration, you may execute and submit a signed and notarized CalPERS Affidavit of Marriage/Domestic Partnership. If the marriage certificate was registered prior to January 1, 1980, the marriage certificate doesn't need to indicate government issued.

A copy of the birth certificate naming the subscriber as the parent.

A copy of the birth certificate naming the subscriber as the parent.

A copy of the birth certificate naming the subscriber's current spouse as the parent. For a stepchild, you must also provide documentation of your current relationship to your spouse as requested above.

A copy of the birth certificate naming the subscriber's current domestic partner as the parent. For a domestic partner child, you must also provide documentation of your current relationship to your domestic partner as requested above.



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