Change in Domestic Partnership. The employee agrees to notify the City of Madison Human Resource’s Department within thirty (30) days if any eligibility requirements listed above and certified by the employee on a form provided by the City are no longer satisfied which would make the Domestic Partner no longer eligible for the City of Madison Health Insurance Premium Reimbursement Plan. If the Domestic Partner relationship terminates, a subsequent registration of Domestic Partnership can be filed six (6) months after a Termination of Domestic Partnership letter of the previous partnership has been submitted to the City of Madison Human Resources Department.
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Change in Domestic Partnership. The employee agrees to notify the City of Madison Human Resource’s Resources Department within thirty (30) days if any eligibility requirements listed above and certified by the employee on a form provided by the City are no longer satisfied which would make the Domestic Partner no longer eligible for the City of Madison Health Insurance Premium Reimbursement Plan. If the Domestic Partner relationship terminates, a subsequent registration of Domestic Partnership can be filed six (6) months after a Termination of Domestic Partnership letter of the previous partnership has been submitted to the City of Madison Human Resources Department.
Appears in 4 contracts
Samples: Agreement, Agreement, www.cityofmadison.com
Change in Domestic Partnership. The employee agrees to notify the City of Madison Human Resource’s Resources Department within thirty (30) days if any eligibility requirements listed above and certified by the employee on a form provided by the City are no longer satisfied which would make the Domestic Partner no longer eligible for the City of Madison Health Insurance Premium Reimbursement Stipend Plan. If the Domestic Partner relationship terminates, a subsequent registration of Domestic Partnership can be filed six (6) months after a Termination of Domestic Partnership letter of the previous partnership has been submitted to the City of Madison Human Resources Department.
Appears in 2 contracts
Samples: www.cityofmadison.com, www.cityofmadison.com
Change in Domestic Partnership. The employee agrees to notify the City of Madison Human Resource’s Resources Department within thirty (30) days if any of the eligibility requirements listed above above, and certified by the employee on a form provided by the City City, are no longer satisfied which would make the Domestic Partner no longer eligible for the City of Madison Health Insurance Premium Reimbursement Plan. If the Domestic Partner relationship terminates, a subsequent registration of Domestic Partnership can be filed six (6) months after a Termination of Domestic Partnership letter of the previous partnership has been submitted to the City of Madison Human Resources Department.
Appears in 2 contracts
Samples: www.cityofmadison.com, www.cityofmadison.com