||A copy of the marriage certificate
- Dual State-employed spouses – Where two State-employed spouses were both hired on or after June 29, 2014 and are both covered under one family plan, the co-share shall be based on the income of the higher earner as determined by the annualized total rate of pay. Further, the spouse that does not pay the co-share is ineligible to receive the waiver opt-out payment.
- Ex-spouse – If your divorce was finalized after January 1, 2014, your ex-spouse is not eligible for State health coverage.
||A notarized Domestic Partnership Affidavit, AND
Proof that you and your domestic partner have resided together for at least one year, AND
At least TWO of the following four items (items in #3 counts as one):
- Domestic Partnership Agreement or a Relationship Contract
- Joint mortgage or joint ownership of primary residence
- TWO of the following four items proving financial interdependency:
- Joint ownership of vehicle
- Joint checking account
- Joint credit account
- Joint lease
- Employee's will, retirement contract, or life insurance showing domestic partner as beneficiary
- Imputed Income
Pursuant to federal guidance, under the State employee health plan the fair market value of any health coverage extended to a domestic partner will be imputed to you as income on your paycheck. This imputed income would be added to the your federal taxable gross wages, State taxable gross wages and social security taxable wages. Additionally, any coverage provided to a domestic partner is paid for on an after-tax basis. You will have additional tax withholdings based on the imputed income and the increased taxable wages due to the reduction in pre-tax contribution. The amount of imputed income is generally around $200 per pay period for medical/prescription, dental and vision coverage, and the amount of the reduction in pre-tax contribution is generally around $100 for the same coverage. This means that you will have additional tax withholdings based on approximately $300 per pay period. Generally, the additional tax withholdings will be in the same proportion as your normal tax withholdings are to your regular pay.
If you and your domestic partner get married, it is YOUR responsibility to inform the Office of Employee Benefits in writing immediately. Your failure to do so will prevent you from obtaining refunds of additional tax withholdings based on imputed income. The Office of Employee Benefits will not coordinate such refunds if it is not notified within 31 days of the date of the marriage.
- Termination of domestic partnership
If your domestic partnership ends, you will not be able to drop your domestic partner from your coverage until open enrollment (for effect January 1 of the following year) unless your domestic partner experiences a qualifying status change.
- Addition of new domestic partner
If you drop your domestic partner, you will not be able to add a new domestic partner for at least 6 months, assuming your new domestic partner meets all eligibility requirements.