Dependent Verification Information and Health Care Audit

Beginning July 18, 2005, Delphi will be mailing out to certain employees Dependent Verification Forms. This process is necessary to verify the eligibility of dependents carried on health care coverage under the Delphi Health Care Program for Hourly Employees. The last hourly verification was conducted in 2002.

Dependent Verification letters will be sent to those hourly active employees, retirees, surviving spouses and COBRA enrollees with dependents age 19-25, stepchildren, principally supported children, guardianship and children of domestic partners. Those receiving the Dependent Verification letters will be required to verify eligibility for all of the dependents currently listed on their health care coverage. If an employee does not have a dependent that falls into one of the above dependent categories, they will not receive Dependent Verification Information in the mail and will not be included in the Health Care Dependent Audit.

Delphi will be utilizing a Voice Response Unit (VRU) and Internet capability for Primary Enrollees to confirm eligibility and/or delete dependents. The VRU, website and Call Center will open the week of July 18 and close on August 5, 2005.

Once you have determined the eligibility of each dependent, please verify it by using one of the following options:

- Access the Delphi National Benefit Center website (www.delphinbc.com) and click on the ‘2005 Hourly Dependent Verification Audit’ link. You will need your Social Security Number and date of birth to access your personal information on this secure website, or

- Dial 1-888-402-7249 and verify your dependent eligibility through the use of an automated voice response system. This system will be available 24 hours a day, 7 days a week.

- Customer Service Representatives will be available to answer your questions Monday through Friday from 7:30 a.m. to 4:30 p.m. Eastern Time beginning July 18, 2005.

You must verify the continuing eligibility of each of your dependent(s) listed using one of the methods above between July 18, 2005 and August 5, 2005 to avoid cancellation of their health care coverage. If you fail to verify your dependent’s eligibility by August 5, 2005 Delphi will cancel your dependents’ coverage effective August 31, 2005.

If you later request to reinstate health care coverage for previously cancelled dependents, Delphi may require you to provide documentation verifying that they initially and continuously met the Program’s eligibility requirements. If you do not provide this documentation when requested, your dependent(s) will not be re-enrolled. Additionally, Delphi may request documentation verifying the eligibility of any enrolled dependent, as necessary, to support continued enrollment.

Also this year, Delphi is verifying the accuracy of dependent Medicare information on file. Please follow the instructions on the dependent verification form to inform us if any of your dependents are currently enrolled for Medicare coverage.

If you fall within the requirements for this audit, make certain that you verify the qualifications of each dependent to avoid the chance of having them removed from your health care coverage.