Home | Aetna Navigator™ | Find A Provider | Health Benefits | Dental | Reimbursement Accounts | Other Programs | Contact Us
Untitled Page
Initial Enrollment
Status Change/Life Event
Enrolling Family Members
Declining Medical Coverage
Who is Eligible for Benefits
Documentation Required to Enroll Dependents
Annual Open Enrollment
Your Benefit Package
Enrollment Materials and Forms
ID Cards
Additional Assistance
Documentation Required to Enroll Dependents

Spouse (opposite sex)

State-certified marriage certificate

Benefit-eligible Costco Employee Spouse (opposite sex)

State-certified marriage certificate and Decline-Coverage form completed by benefit eligible employee spouse

Dependent Child (up to age 19)

State-certified birth certificate

Dependent child (age 19 up to age 23)

State-certified birth certificate and proof of full-time student status. For details of student status verification, click here.

Step-child

State-certified birth certificate, Declaration of Plan Eligibility for Step-child form and marriage certificate. Proof of full-time student status also required if age 19 to 23

Legal guardian

Declaration of Legal Guardianship form and documentation required by the declaration. Proof of full-time student status also required if age 19 to 23

Domestic partner and domestic partner's child(ren)

Declaration of Domestic Partnership and documentation required by the declaration. Birth certificates are required for children of domestic partner as well as proof of full-time student status if age 19 to 23

If you do not have your child's state-certified birth certificate or a state-certified marriage certificate, click here for more information.

About Step-children

If you have a step-child, you may enroll him or her for Costco benefits. You'll need to meet certain requirements that are spelled out in the Declaration of Plan Eligibility for Stepchild.

For complete information, ask your location's payroll or benefits representative for a copy of the Declaration of Plan Eligibility for Stepchild. You may also click to view and print these forms.

About Legal Guardianship

If you have legal guardianship of your grandchild, sibling, niece or nephew, you may enroll him or her for Costco benefits. You'll need to meet certain requirements that are spelled out in the Declaration of Legal Guardianship.

For complete information, ask your location's payroll or benefits representative for a copy of the Declaration of Legal Guardianship. You may also click to view and print these forms.

About Domestic Partners

You may enroll your domestic partner and his or her children for Costco benefits. Your domestic partnership must meet certain requirements that are spelled out in the Declaration of Domestic Partnership. This is a form you'll need to sign and return, along with proof of your partnership, when you enroll.

For complete information about enrolling a domestic partner, ask your location's payroll or benefits representative for a copy of the Domestic Partner Overview and Declaration of Domestic Partnership. You also may click to view and print these forms.

Health Headlines

Headlines

· Report: 20-Somethings Can Go 2 Years Between Paps

· U.S. Survey Shows Southern Counties Most Obese

· Sebelius: Mammograms Still Vital in Saving Lives

For more health news and information, go to Aetna Intelihealth.


Disclaimer Costco Privacy Notice Enrollment Materials & Forms