Under the Healthcare Fund program, you may enroll your family members as either dependents or designated beneficiaries under your account. They will be eligible to use your Medical Savings Account (MSA) or be eligible for National Health Insurance (NHI).
To enroll your family members, you must complete an HCF Enrollment Form. Because each enrollment form is customized with your personal information, enrollment forms are not available online. They must be picked up at the Social Security office or specific requests for an electronic copy must be emailed to firstname.lastname@example.org.
Enrolling Myself in the Program
Once the Social Security Administration receives and posts HCF contributions paid by your employer, you are automatically enrolled into the program. However, you must fill an HCF enrollment form if you wish to enroll our family members as dependents or designated beneficiaries.
Difference between Dependents and Designated Beneficiaries
Dependents include your spouse and children under 18 years of age, or under 22 if still in school. Your dependents will have access to 1) your MSA and 2) can also have NHI coverage.
Designated beneficiaries are family members other than your spouse and children under 18 years of age, or under 22 if still in school. They must be family members that are related to you in some way, either through blood or marriage. Designated beneficiaries are only allowed access to your MSA, but are not insured.
All individuals you wish to enroll as dependents or designated beneficiaries MUST have a valid Palau Social Security Number.
Adding Dependents and Designated Beneficiaries
If your enrollment form is submitted to the SS office before thirty days of the end of a calendar quarter, they will become eligible under your account the next full calendar quarter. If your enrollment form is submitted within thirty days of the end of a calendar quarter, your dependents and designated beneficiaries will be eligible on the second following calendar quarter.
Sometimes, the SS office receives enrollment forms of individuals who have listed the names of their dependent children that do not yet have a valid Palau Social Security number. In these cases, the HCF will follow the date the original enrollment was received, not the date when the child's Palau SSN was issued.
Documents Needed to Enroll my Dependents
At the time of enrollment, the SSA does not require documents to enroll your spouse or children as dependents. However, if you wish to add an adopted child as your dependent, the SS office will require proof of adoption. Without a legal document as proof of adoption, the child cannot be enrolled as a dependent under your name.
In addition, the SSA has the right to request any required documents, such as marriage certificate or birth certificates, at any time after enrollment. The failure to submit required documents will result in the removal of the person as your dependent. Should this occur, you will be responsible for the cost of any healthcare services that were provided to that person when he or she was previously listed as your dependent.
What Happens when my Dependent Child Turns 18 or 22?
When your dependent child turns 18 years old, a Certification of School Attendance form must be completed and submitted to the Social Security office as proof of eligibility for National Health Insurance.
Without a valid Certification of School Attendance form, your child will be listed as a designated beneficiary. He may continue to use your medical savings account but will not be eligible for coverage under National Health Insurance. Only when the SS office has processed your Certification of School Attendance form can your child be re-listed as a dependent.
When your dependent child turns 22, he will NO LONGER have access to your medical savings account nor will he be eligible for coverage under National Health Insurance. If you would like him to continue to use your medical savings accounts, you must enroll him as a designated beneficiary.