• Employee must submit these forms:
  • Attending physician form (completed by the provider)
  • Disabled child form (completed by the employee)
• Completed forms can be faxed or mailed to the address/fax information included in the form.
• Once approved by Aetna, the employee will receive notification if this disability needs to be re-certified each year, or if it is deemed permanent.

• Employee must submit UHC Statement of Eligibility Application.
  • Page two of the application must be completed by the attending physician.
• Completed application can be faxed or e-mailed to the fax/e-mail information included in the application.
• Employee must submit application to UHC within two months (and no sooner than six months) of losing dependent status.
• Once approved by UHC, the employee will receive notification if this disability needs to be re-certified each year, or if it is deemed permanent.

• Employee must submit Delta Dental Disabled Dependent Application.
  • Final section of the form must be completed by the attending physician.
• Completed form should be mailed to the address included in the form.
• Once approved by Delta Dental, the employee will receive notification if this disability needs to be re-certified each year, or if it is deemed permanent.

No certification is necessary. Workday should indicate that the dependent is disabled.

It’s important to know how to mark a dependent as disabled in Workday:

Fidelity is dedicated to helping everyone be as effective as they can be. From accessibility customer support to productivity tools, Fidelity is there to support your financial well-being, including special needs. Access resources about tax-advantaged savings programs, along with tips for long-term planning and more:

• Support for your financial well-being
• Caring for someone with disabilities or special needs
• Financial planning for loved ones with disabilities
• Saving for individuals with special needs
• Caring for a child with special needs

Maven is the world’s largest virtual clinic for women and families. Maven’s Parenting and Pediatrics program helps address obstacles to care and provide expert support for children with all abilities. Maven members have free access to all of the below resources 24/7, so they can receive support and speak with experts on their own schedule.

• Designated Care Advocate to help you find in-network support, make referrals, navigate your benefits, and understand your health bill.
• Access to specialized providers including:
  • Parenting coaches
  • Speech pathologists
  • Nutritionists
  • Pediatric mental health specialists
  • Psychiatric nurse practitioners
  • Occupational therapists
  • Care consultants
• A supportive community of other parents
• Educational resources
• Provider-led classes on topics such as pediatric mental health or how to help your kids regulate their emotions.

Learn more at Maven.