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 Dependent Eligibility Verification 

PEIA has contracted with Healthcare Data Management Inc. to identify and remove ineligible dependents from PEIA coverage. All PEIA policyholders with dependents are being asked to provide dependent eligibility documentation. Below are a sample letter, frequently asked questions and other documents related to the process.

Sample DEV Letter
Sample DEV Grace Period Affidavit
Sample DEV Chart of Verification Documents
Sample DEV Frequently Asked Questions
ERA and DEV PowerPoint for Benefit Coordinators (8-21-09)
ERA and DEV Webinar Presentation for Benefit Coordinators (8-11-09, revised 8-20-09)
Dependent Qualification Affidavit

If you have questions, contact HDM Customer Service at 1-800-936-0393.