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What should I do if one or more of my enrolled dependents does not meet eligibility requirements as listed in the attached Dependent Eligibility Matrix?

You must check the box in column 'D' next to the dependent's name and fill in the date in column 'E' on the Dependent Verification Affidavit. Your ineligible dependents will be removed from coverage. You may contact Hodges-Mace, LLC to discuss coverage alternatives.