Eligible Dependents
Dependents of enrolled DriveTime employees are eligible to
participate in the plan but are limited to the following:
- Spouses
- Common-Law Spouses (TX only)
- Same-sex Domestic Partners
- Children and Step-Children (in residence)
- Children and Step-Children of Domestic Partners (same-sex
partnerships only)
- Any dependent specified by a Qualified Mandatory Court Support
Order
We verify the eligibility of all dependents covered on our
Medical, Dental, and Vision plans.
Documentation for all newly covered dependents must be faxed to
888-505-7130 prior to your benefits effective date or your
dependents will be removed from coverage. Enrolling an ineligible
dependent on your plan could result in termination of your
employment.
Please click on the link below to view a copy of the request for
documentation and the list of acceptable documents.
Click here for the Family Status Change Form
Click here for a list of accepted Dependent
Eligibility Documentation
Expanded Definition of Dependent - Same Sex
Partnerships
DriveTime will now offer our medical plans, dental plans, vision
plan and life insurance to same-sex domestic partner dependents. If
you and your partner would like to participate in the Wellness
Program, you must complete the required steps to comply and are
subject to the same biometric pillars, including no tobacco
use.
In order to cover your same sex domestic partner, you must
complete an Affadavit of Domestic Partnership form, available
below. In addition to completing this form, you must also submit
evidence of dependent eligibility. Please visit the Benefits
website to view a list of accepted supporting documents. Domestic
partnerships will only be accepted for same-sex couples at this
time. Please note, any premium contributions made by DriveTime on
behalf of a non-dependent partner are considered taxable
income.
Click here to download the Domestic Partnership
Affidavit Form
Click here for a list of accepted Dependent
Eligibility Documentation for Domestic
Partnerships