Agenda - 10-05-2004-5g - Laserfiche WebLink

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5 Attachment 1 Draft Personnel Ordinance Revisions To Implement Benefits For Domestic Partners (Changes shown in bold type) Article 1-The Personnel Organization 4.0 Definitions 4.11 Domestic Partner- A person of the same or opposite gender, not related by blood to the employee, who is not legally married to the employee or anyone else, 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. Note: To qualify for Domestic Partner coverage, the employee and his or her Domestic Partner must meet all of the following criteria and must sign the North Carolina Association of County Commissioners' Risk Management Pool's Declaration of Domestic Partner status attesting that they are: • At least 18 years old and mentally competent to consent to a civil contract, • Not acting under force or duress, • Not legally married to any other person and not engaged in another domestic partner relationship, • Not related by blood, • Engaged in an exclusive, committed relationship 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. Two forms of proof, documenting the Domestic Partner relationship, must be provided with the Declaration. Acceptable forms of documentation include Birth Certificate, Driver's License, or state-issued Identification Card, Common Will, Joint Bank or Credit Accounts, Life Insurance Policy designating the Domestic Partner as a named beneficiary.