Common use of Health Insurance Benefits for Domestic Partners Clause in Contracts

Health Insurance Benefits for Domestic Partners. Same or opposite sex domestic partners may be covered as long as the following criteria have been met: • The domestic partner is 18 years of age or older, unmarried, and unrelated to the employee by marriage or blood in a way that would bar marriage under the laws of New York State; AND • The employee has lived with the domestic partner in a long-term, committed relationship of mutual support and each have been the other’s sole domestic partner for a period of at least one year; AND • The employee has assumed long-term financial responsibility for the domestic partner or the employee and the domestic partner have mutual financial responsibility. A completed affidavit of domestic partnership, one proof of cohabitation duration, and two proofs of financial interdependence in a form acceptable to the insurance carrier must be submitted to the Human Resources Office, along with the appropriate medical plan enrollment change form. Once the domestic partner’s eligibility for coverage has been satisfactorily established, the effective date of coverage will be: • The date that the required eligibility affidavit form was signed, as long as Human Resources received this form within 30 days of the signature date; OR • The January 1 following the date that the required eligibility affidavit form was signed, if Human Resources received this form more than 30 days after the signature date.

Health Insurance Benefits for Domestic Partners. Same Effective with ratification of this contract, same or opposite sex domestic partners may be covered as long as the following criteria have has been met: •  The domestic partner is 18 years of age or older, unmarried, and unrelated to the employee by marriage or blood in a way that would bar marriage under the laws of New York State; AND •  The employee has lived with the domestic partner in a long-term, committed relationship of mutual support and each have been the other’s sole domestic partner for a period of at least one year; AND •  The employee has assumed long-term financial responsibility for the domestic partner or the employee and the domestic partner have mutual financial responsibility. A completed affidavit of domestic partnership, one proof of cohabitation duration, and two proofs of financial interdependence in a form acceptable to the insurance carrier must be submitted to the Human Resources OfficeResources, along with the appropriate medical plan enrollment change form. Once the domestic partner’s eligibility for coverage has been satisfactorily established, the effective date of coverage will be: •  The date that the required eligibility affidavit form was signed, as long as Human Resources received this form within 30 days of the signature date; OR •  The January 1 following the date that the required eligibility affidavit form was signed, if Human Resources received this form more than 30 days after the signature date.

Health Insurance Benefits for Domestic Partners. Same or opposite sex domestic partners may be covered as long as the following criteria have been met: •  The domestic partner is 18 years of age or older, unmarried, and unrelated to the employee by marriage or blood in a way that would bar marriage under the laws of New York State; AND •  The employee has lived with the domestic partner in a long-term, committed relationship of mutual support and each have been the other’s sole domestic partner for a period of at least one year; AND •  The employee has assumed long-term financial responsibility for the domestic partner or the employee and the domestic partner have mutual financial responsibility. A completed affidavit of domestic partnership, one proof of cohabitation duration, and two proofs of financial interdependence in a form acceptable to the insurance carrier must be submitted to the Human Resources Office, along with the appropriate medical plan enrollment change form. Once the domestic partner’s eligibility for coverage has been satisfactorily established, the effective date of coverage will be: •  The date that the required eligibility affidavit form was signed, as long as Human Resources received this form within 30 days of the signature date; OR •  The January 1 following the date that the required eligibility affidavit form was signed, if Human Resources received this form more than 30 days after the signature date.