Update, July 18, 2017

If Secova notifies you that your family member’s coverage will be cancelled and you believe that the documents you already submitted should be sufficient to demonstrate your family member is eligible, you may appeal Secova’s decision. Please send a written statement of appeal, with documentation supporting your family member’s eligibility, to:

Systemwide HR Compliance
University of California, Office of the President
Care of: Jennifer Damico Murphy
1111 Franklin Street, 5307G
Oakland, CA 94607

The written statement must be received no later than September 10, 2017. You will be notified by mail whether your appeal has been granted or denied. Please note that late submissions could result in family members being de-enrolled. If your late appeal is approved your family members will be reinstated prospectively but may still require payment of missed premiums if applicable.

If you have not submitted any documents for the Recertification project and receive a notice of de-enrollment, please contact Secova immediately to begin the process. You can contact Secova at 888-926-5687 or (1-323-781-3921 for calls outside the U.S.) or visit the Secova verification website at verify.secova.com/ucfmer.

In April, Secova, Inc., working with UC Human Resources, will begin reaching out to certain employees to reverify the eligibility of some dependents for health and welfare benefits. If you are selected as part of this reverification process, Secova will request information verifying the current eligibility of your spouse or domestic partner, grandchildren or legal wards. It is important to follow all instructions carefully; failure to respond to, or comply with, the Family Member Eligibility Verification notifications sent by Secova may result in the de-enrollment of your unverified dependents.

Why UC is reverifying benefits eligibility

The university has a fiduciary responsibility to California taxpayers and plan participants to ensure the best possible management of its health care benefits. To responsibly manage UC resources, it is essential that health plan members enroll only those family members who are eligible for UC-sponsored health insurance — and de-enroll them if they lose eligibility. While all faculty and staff have verified these family members in the past, this reverification process is an opportunity for the university to ensure that information about enrolled family members is up to date.

What happens next

In early April, Secova will reach out to employees who have enrolled a spouse, domestic partner, grandchild or legal ward prior to Dec. 31, 2014 and who previously provided appropriate documentation to verify the family member’s eligibility. If you are included in the reverification process, you will receive a packet from Secova with information about eligibility and detailed instructions about what you need to do. 

The reverification process will be much easier than the initial eligibility verification, since Secova only needs to verify that your family member is currently eligible. Secova will request only one document that shows the dependent is still eligible for health and welfare benefits. For example:

  • Spouses and domestic partners: You will need to provide a current document that confirms your marriage or partnership — for instance, a Federal Income Tax Return, mortgage statement or current credit card statement listing both the employee and the spouse or domestic partner
  • Grandchildren and legal wards: You will need to provide a current document that confirms the grandchild or legal ward is still your tax dependent and that you provide at least 50 percent of his or her support — for instance, a Federal Income Tax Return showing the individual is listed as a dependent

About a month after the initial communication, Secova will follow up with emails and phone calls, reminding those selected for reverification to send in documents and offering assistance with questions or concerns. An appeals process conducted by a review team at the UC Office of the President will ensure that no dependents are de-enrolled from benefits in error.