Common use of Coverage of Children of Domestic Partners Clause in Contracts

Coverage of Children of Domestic Partners. Children covered under this Policy also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An alternative affidavit of domestic partnership. The affidavit must be notarized and must contain the following: • The partners are both 18 years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months; b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policy; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy Contract also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An alternative affidavit of domestic partnership. The affidavit must be notarized and must contain the following: • The partners are both 18 years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months; b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policy; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy Contract also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An alternative affidavit of domestic partnership. The , the affidavit must be notarized and must contain the following: • The partners are both 18 years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months; b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policy; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy Contract also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An by an alternative affidavit of domestic partnership. . a. The affidavit must be notarized and must contain the following: • The partners are both 18 years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months;; and b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policy; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy Contract also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An alternative by an alternate affidavit of domestic partnership. . a. The affidavit must be notarized and must contain the following: • The partners are both 18 years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months;; and b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as 1)as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policy; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy Contract also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An alternative affidavit of domestic partnership. The affidavit must be notarized and must contain the following: • The partners are both 18 years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months; b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policy; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy Contract also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An alternative affidavit of or domestic partnership. The affidavit must be notarized and must contain the following: • The partners are both 18 years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months;; and b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policy; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An alternative by an alternate affidavit of domestic partnership. . a. The affidavit must be notarized and must contain the following: •  The partners are both 18 years of age or older and are mentally competent to consent to contract; •  The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; •  The partners have been living together on a continuous basis prior to the date of the application; and •  Neither individual has been registered as a member of another domestic partnership within the last six (6) months;; and b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: •  A joint bank account; •  A joint credit card or charge card; •  Joint obligation on a loan; •  Status as an authorized signatory on the partner’s bank account, credit card or charge card; •  Joint ownership of holdings or investments; •  Joint ownership of residence; •  Joint ownership of real estate other than residence; •  Listing of both partners as tenants on the lease of the shared residence; •  Shared rental payments of residence (need not be shared 50/50); •  Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; •  A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); •  Shared household budget for purposes of receiving government benefits; •  Status of one (1) as representative payee for the other’s government benefits; •  Joint ownership of major items of personal property (e.g., appliances, furniture); •  Joint ownership of a motor vehicle; •  Joint responsibility for child care (e.g., school documents, guardianship); •  Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); •  Execution of xxxxx naming each other as executor and/or beneficiary; •  Designation as beneficiary under the other’s life insurance policy; •  Designation as beneficiary under the other’s retirement benefits account; •  Mutual grant of durable power of attorney; •  Mutual grant of authority to make health care decisions (e.g., health care power of attorney); •  Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or •  Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy Contract also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, ; or 2. For partners residing where registration does not exist, by: a. An by an alternative affidavit of domestic partnership. . a. The affidavit must be notarized and must contain the following: • The partners are both 18 eighteen years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months;; and b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policyContract; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s partners’ financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An alternative by an alternate affidavit of domestic partnership. . a. The affidavit must be notarized and must contain the following: • The partners are both 18 years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months;; and b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policy; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy Contract also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An by an alternative affidavit of domestic partnership. . a. The affidavit must be notarized and must contain the following: • The partners are both 18 years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months;; and b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policy; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.

Coverage of Children of Domestic Partners. Children covered under this Policy Contract also include the Children of the Subscriber’s domestic partner. Proof of the domestic partnership and financial interdependence must be submitted in the form of: 1. Registration as a domestic partnership indicating that neither individual has been registered as a member of another domestic partnership within the last six (6) months, where such registry exists, or 2. For partners residing where registration does not exist, by: a. An alternative by an alternate affidavit of domestic partnership. . a. The affidavit must be notarized and must contain the following: • The partners are both 18 years of age or older and are mentally competent to consent to contract; • The partners are not related by blood in a manner that would bar marriage under the laws of the State of New York; • The partners have been living together on a continuous basis prior to the date of the application; and • Neither individual has been registered as a member of another domestic partnership within the last six (6) months;; and b. Proof of cohabitation (e.g., a driver’s license, tax return or other sufficient proof); and c. Proof that the partners are financially interdependent. Two (2) or more of the following are collectively sufficient to establish financial interdependence: • A joint bank account; • A joint credit card or charge card; • Joint obligation on a loan; • Status as an authorized signatory on the partner’s bank account, credit card or charge card; • Joint ownership of holdings or investments; • Joint ownership of residence; • Joint ownership of real estate other than residence; • Listing of both partners as tenants on the lease of the shared residence; • Shared rental payments of residence (need not be shared 50/50); • Listing of both partners as tenants on a lease, or shared rental payments, for property other than residence; • A common household and shared household expenses, e.g., grocery bills, utility bills, telephone bills, etc. (need not be shared 50/50); • Shared household budget for purposes of receiving government benefits; • Status of one (1) as representative payee for the other’s government benefits; • Joint ownership of major items of personal property (e.g., appliances, furniture); • Joint ownership of a motor vehicle; • Joint responsibility for child care (e.g., school documents, guardianship); • Shared child-care expenses, e.g., babysitting, day care, school bills (need not be shared 50/50); • Execution of xxxxx naming each other as executor and/or beneficiary; • Designation as beneficiary under the other’s life insurance policy; • Designation as beneficiary under the other’s retirement benefits account; • Mutual grant of durable power of attorney; • Mutual grant of authority to make health care decisions (e.g., health care power of attorney); • Affidavit by creditor or other individual able to testify to partner’s financial interdependence; or • Other item(s) of proof sufficient to establish economic interdependency under the circumstances of the particular case.