SHBP will honor a National Medical Support Notice (NMSN) or valid court order for eligible Dependents. A NMSN or valid court order creates, recognizes, or assigns the right for a Dependent to receive benefits under a health plan

If you are a SHBP eligible member who needs to add or remove dependents due to a NMSN or a valid court order, you may enroll or remove any eligible dependents, and change your Plan Option and/or Tier.

If you are an eligible Active employee not currently covered by SHBP and want to add coverage for dependents in which you have a NMSN or valid court order, you may enroll yourself and any eligible dependents in SHBP coverage.

 

  • Within 31 days of adding or removing a Dependent due to a NMSN or Valid Court Order...

    Within 31 days of notification of your NMSN or Valid court order, you must declare the event by notifying SHBP Member Services by:

    • Visiting the SHBP Enrollment Portal 24 Hours a Day/7 Days Per Week (for instructions on registering or logging in the SHBP Enrollment Portal, click here), or
    • Contacting SHBP Member Services, Monday – Friday 8:30 a.m. to 5:00 p.m. ET

    If you fail to timely notify SHBP Member Services, you must wait until the next Open Enrollment period, unless you experience another Qualifying Event or Special Enrollment Event to make a change to your coverage. 

  • Within 45 days after you notify SHBP Member Services...

    Within 45 days after you notify SHBP Member Services, you must provide the following dependent verification documentation to add your spouse and/or child(ren):

    • Copy of the NMSN listing eligible dependent(s) that should be added or removed from coverage
    • Valid court order listing the dependent(s) that should be added or removed from coverage
    • For your spouse: 1) copy of a certified marriage license or most recent jointly filed Federal Tax Return which includes legible signatures for both member and spouse and 2) spouse’s Social Security Number (if your spouse does not have an SSN, please see information here)
    • For your child(ren): 1) copy of a certified birth certificate or birth card issued by the hospital listing parents by name and 2) child’s Social Security Number (if your child does not have an SSN, please see information here)

  • To assist you in providing the verification documentation...

    To assist you in providing the verification documentation, SHBP will send you a letter with instructions on how to submit your documentation via email if you have an email address on file; and if no email address is on file, the letter will be mailed to you if you have an address on file. This process is referred to as your Audit and you and/or your dependent(s) as applicable, will not be enrolled in SHBP coverage until you provide the necessary verification documentation proving eligibility for coverage and the SHBP team approves your Audit.

    Please do not submit verification documentation until you receive your letter from SHBP. Providing documentation to anyone, including your employer or other entity not appointed by SHBP for this purpose, or via any other means not provided for in this letter will result in you failing the Audit. If you fail the Audit, you must wait until the next Open Enrollment period, unless you experience another Qualifying Event or Special Enrollment Event to make a change to your coverage.

  • Need to Speak with Someone?

    If you need to speak with someone, please contact SHBP Member Services via email at [email protected] or via phone at 800-610-1863. If you have already declared your Court Ordered event you may visit the SHBP Enrollment Portal for updates 24 Hours a Day/7 Days Per Week (for instructions on registering or logging in the SHBP Enrollment Portal, click here).