Get Kindred Healthcare Life Event/dependent Verification Instructions

Completing the Kindred Healthcare Life Event/Dependent Verification Instructions online is essential for ensuring timely coverage for you and your dependents. This guide provides clear, step-by-step instructions tailored to users of all experience levels.

Follow the steps to fill out the form accurately and efficiently.

1. Press the ‘Get Form’ button to obtain the Kindred Healthcare Life Event/Dependent Verification Instructions form. This will allow you to open the form in your preferred online editor.
2. Fill in the necessary information, including your name, the last four digits of your Social Security number, date of birth, personnel number (if applicable), facility name, and daytime phone number.
3. List the dependents you wish to add by including their names, relationships to you, and dates of birth in the respective fields.
4. Select the appropriate documentation you are submitting to validate the eligibility of your dependents. Ensure the documents correspond with the dependents listed.
5. Sign and date the form to confirm the accuracy of the information provided. Acknowledge that any false information may lead to disciplinary measures.
6. Submit the completed form and the required documentation via email or fax. Use the email address KindredVerifyFamily@mercer.com or the fax number (515) 365-0692. It is advisable to keep a copy of the confirmation received for your records.

Complete your documents online today to ensure timely coverage for you and your dependents.