Who’s eligible?

Employee eligibility

You are eligible for Schneider Electric benefits if you are a:

Salaried or hourly non-union full-time employee;
Regular part-time non-union employee, scheduled to work at least 17.5 hours per week; or
Union employee covered by a collective bargaining agreement providing coverage by this program.

NOTE: Temporary workers and contracted or leased employees are excluded from Schneider Electric benefits.

Eligible dependents

At Schneider Electric, we recognize the importance of benefits coverage for your family. If you are eligible for benefits, you may cover your spouse or domestic partner and your children, as defined below. For information on the documents you need to submit to ensure your dependents can be covered, see below. Find additional information on se-benefitslink.com.

Eligibility criteria	Required documents
Spouse: A person to whom you are legally married, including same-sex spouses legally married in states where such marriages are recognized.	Three Documents Are Required: Submit one: Your most recent federal tax return that lists your spouse OR Photocopy of marriage certificate Proof of Joint Ownership issued within 90 days Working Spouse Certification (Only if spouse is enrolled in medical)
Common Law Spouse: A person to whom you are legally married as common law spouses in states where such marriages are recognized.	Three Documents Are Required: Submit one: Common Law Marriage Affidavit OR Government Issued Common Law Marriage or Civil Union License/Certificate Submit one: Most Recent Federal Tax Return that lists your spouse OR Proof of Joint Ownership issued within 90 days Working Spouse Certification (Only if spouse is enrolled in medical)
Domestic Partner: Same or opposite-sex partner with whom you are registered with an authorized government agency or, if not registered, with whom you are involved in an ongoing and committed relationship and who meets all the following criteria: Shares a permanent residence with you Has resided jointly with you for no less than six months Not be less than 18 years of age Be financially interdependent with you (by proof listed in right column) Not be a blood relative any closer than would prohibit legal marriage	Five Documents Required: Submit one: Domestic Partner Affidavit OR Government Issued Domestic Partner or Civil Union License/Certificate Domestic Partner Tax Certification Proof of Joint Ownership issued within 90 days Proof of Joint Ownership issued more than 6 months Working Spouse Certification (Only if domestic partner is enrolled in medical)
Child: A dependent child [younger than age 26 regardless of student or marital status] and is, either: Your natural child Your stepchild or a child for whom you are the legal guardian Your domestic partner’s child who lives with you Your legally adopted child: From the start of any waiting period prior to the finalization of the child’s adoption. For example, a newborn infant who you adopt, is eligible from the moment you take physical custody of the child upon the child’s release from the hospital, prior to the finalization of the child’s adoption. Covered under a Qualified Medical Child Support Order (QMCSO) IMPORTANT: If required document is not available If you have enrolled your child within the 90-day deadline and are nearing the 60-day dependent verification deadline but have yet to receive their birth/adoption certificate (or other government issued document), please contact PeopleLink before the 60-day deadline to request an extension.	For Natural Child (1 Document Required): Submit one: Photocopy of birth certificate showing your name OR Copy of your most recent federal tax return showing the dependent listed For Stepchild (1-2 Documents Required): Photocopy of birth certificate showing your spouse/DP’s name; AND A copy of marriage certificate showing yours and the parent’s name OR Copy of your most recent federal tax return showing the dependent listed For Domestic Partner’s Child (1 Document Required): Submit one: Photocopy of birth certificate showing your domestic partner’s name OR Copy of your or domestic partner’s most recent federal tax return showing the dependent listed Note: The Domestic Partner Affidavit and Tax Certification is also required if only your domestic partner’s child (not your domestic partner) is being enrolled in coverage. For Legal Guardian, Adoption or Foster Child: Submit one: Photocopy of Final Court Order with presiding judge’s signature, Adoption Final Decree with presiding judge’s signature, or a Qualified Medical Child Support Order OR Copy of your most recent federal tax return showing the dependent listed
Dependent Child with Disability: An unmarried child meeting the criteria of a child listed above, and who: Is at least age 26 Is medically certified as physically or mentally incapable of self-support Is dependent upon the employee or other care providers for support and maintenance Was a covered dependent prior to attaining age 26	Two Documents Are Required: Documentation as noted above for applicable child type AND Copy of your most recent federal tax return showing the dependent listed Note: Schneider Electric is only verifying the child’s eligibility as a dependent. Your health insurance carrier determines the disability status of the child.

Eligibility criteria

Required documents

Spouse: A person to whom you are legally married, including same-sex spouses legally married in states where such marriages are recognized.

Three Documents Are Required:

Submit one:
- Your most recent federal tax return that lists your spouse
  OR
- Photocopy of marriage certificate
Proof of Joint Ownership issued within 90 days
Working Spouse Certification (Only if spouse is enrolled in medical)

Common Law Spouse: A person to whom you are legally married as common law spouses in states where such marriages are recognized.

Three Documents Are Required:

Submit one:
- Common Law Marriage Affidavit
  OR
- Government Issued Common Law Marriage or Civil Union License/Certificate
Submit one:
- Most Recent Federal Tax Return that lists your spouse
  OR
- Proof of Joint Ownership issued within 90 days
Working Spouse Certification (Only if spouse is enrolled in medical)

Domestic Partner: Same or opposite-sex partner with whom you are registered with an authorized government agency or, if not registered, with whom you are involved in an ongoing and committed relationship and who meets all the following criteria:

Shares a permanent residence with you
Has resided jointly with you for no less than six months
Not be less than 18 years of age
Be financially interdependent with you (by proof listed in right column)
Not be a blood relative any closer than would prohibit legal marriage

Five Documents Required:

Submit one:
- Domestic Partner Affidavit
  OR
- Government Issued Domestic Partner or Civil Union License/Certificate
Domestic Partner Tax Certification
Proof of Joint Ownership issued within 90 days
Proof of Joint Ownership issued more than 6 months
Working Spouse Certification (Only if domestic partner is enrolled in medical)

Child: A dependent child [younger than age 26 regardless of student or marital status] and is, either:

Your natural child
Your stepchild or a child for whom you are the legal guardian
Your domestic partner’s child who lives with you
Your legally adopted child:
- From the start of any waiting period prior to the finalization of the child’s adoption.
- For example, a newborn infant who you adopt, is eligible from the moment you take physical custody of the child upon the child’s release from the hospital, prior to the finalization of the child’s adoption.
Covered under a Qualified Medical Child Support Order (QMCSO)

IMPORTANT: If required document is not available
If you have enrolled your child within the 90-day deadline and are nearing the 60-day dependent verification deadline but have yet to receive their birth/adoption certificate (or other government issued document), please contact PeopleLink before the 60-day deadline to request an extension.

For Natural Child (1 Document Required):

Submit one:
- Photocopy of birth certificate showing your name
  OR
- Copy of your most recent federal tax return showing the dependent listed

For Stepchild (1-2 Documents Required):

Photocopy of birth certificate showing your spouse/DP’s name; AND
A copy of marriage certificate showing yours and the parent’s name
OR
Copy of your most recent federal tax return showing the dependent listed

For Domestic Partner’s Child (1 Document Required):

Submit one:
- Photocopy of birth certificate showing your domestic partner’s name
  OR
- Copy of your or domestic partner’s most recent federal tax return showing the dependent listed

Note: The Domestic Partner Affidavit and Tax Certification is also required if only your domestic partner’s child (not your domestic partner) is being enrolled in coverage.

For Legal Guardian, Adoption or Foster Child:

Submit one:
- Photocopy of Final Court Order with presiding judge’s signature, Adoption Final Decree with presiding judge’s signature, or a Qualified Medical Child Support Order
  OR
- Copy of your most recent federal tax return showing the dependent listed

Dependent Child with Disability: An unmarried child meeting the criteria of a child listed above, and who:

Is at least age 26
Is medically certified as physically or mentally incapable of self-support
Is dependent upon the employee or other care providers for support and maintenance
Was a covered dependent prior to attaining age 26

Two Documents Are Required:

Documentation as noted above for applicable child type
AND
Copy of your most recent federal tax return showing the dependent listed

Note: Schneider Electric is only verifying the child’s eligibility as a dependent. Your health insurance carrier determines the disability status of the child.