Spouse/Partner Verification
Covering a spouse or domestic partner on your SIP medical plan? Gather your documents and complete verification in three straightforward steps.
Begin Process
This step is only required if you cover a spouse or domestic partner on SIP medical. Review the FAQs, gather every required document, then complete the survey below.
Complete verification before coverage begins. A $300 monthly surcharge applies when your spouse/partner has access to other available medical coverage. See the FAQs for the rules and verification requirements.
Protect your personal information. On Form 1040, keep your names and Line 1a visible; redact Social Security numbers and other financial information. You may redact account numbers on joint financial documents.
Enter your employee and spouse/partner details, answer the coverage questions, and attach the required documents. Review your information and complete the attestation before submitting.
Upload through the approved secure form only. Do not send tax returns or verification documents by email or benefits chat.
Submission alone does not confirm an exemption or change payroll. The surcharge applies until verification is completed and confirmed.
Begin the Process
Have your documents ready, then complete each step below. Your information and uploads are submitted directly to Jotform for verification.
Use the form for documents—not email or benefits chat.
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