Agenda - 09-21-2004-5d - Laserfiche WebLink

Browse Search

Domestic Partner - A person of the same or opposite gender, not related by blood to the employee, who is not legally married to any other person, and who shares the following with the employee: 1) an exclusive, committed relationship as provided in the Declaration of Domestic Partnership statement, 2) a residence, and 3) responsibility for each other's common welfare and financial obligations. To qualify for Domestic Partner coverage (under the provisions of the County's health insurance plan), the employee and his or her Domestic Partner must meet all of the following criteria and sign a Declaration of Domestic Partnership (Attachment 2) attesting that they are: • At least 18 years old and mentally competent to consent to a civil contract, • Nat acting under force or duress, • Not related by blood, • Not legally married to any other person and not engaged in another domestic partner relationship, • Are engaged in a committed relationship of mutual caring and support that has existed for at least 12 consecutive months, • Currently reside together and intend to do so permanently, • Responsible for each other's common welfare and either: / Are jointly responsible for their assets and debts as provided by applicable law, or / Have executed a written agreement or civil contract which defines their domestic partner relationship and their liabilities with respect to their assets and debts, • Not Medicare eligible, To document the domestic partner relationship, the County's health insurance provider requires two forms of proof along with the Declaration. Acceptable forms of such documentation include Birth Certificates, Driver's license orstate-issued Identification Card, Common Will, Joint Bank ar Credit Accounts, Life Insurance Policy designating the Domestic Partner as a beneficiary or the like. Benefits Offered It is proposed that domestic partner coverage include the following benefits. These parallel those that would be available for an employee's spouse, • Dependent health insurance • Dependent dental insurance • Dependent life insurance • Dependent COBRA coverage for continuation of health and dental insurance • Dependent retiree health insurance • Dependent Employee Assistance Program coverage • Funeral Leave • Sick Leave to care for family members • Shared Leave