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Coverage Under Employee Benefit Programs for Domestic Partner Benefits

The summary linked below outlines the UW-System employee benefit plans that offer domestic partner benefits for dependents. To be eligible for insurance coverage as a domestic partner, the employee and his/her partner must be in an established domestic partnership of at least six months and meet the criteria set forth in the Domestic Partner Affidavit, UWS-50. A domestic partner may be of the same or opposite sex.

Domestic Partner Benefit Summary: wwwnew.uwsa.edu/hr/benefits/dpsummary.pdf Adobe Acrobat

UW System Domestic Partner Benefits Website: www.uwsa.edu/hr/benefits/dpbenefits.html

The Affidavit (www.uwsa.edu/hr/benefits/ins/uws50.pdf) Adobe Acrobat is required for enrollment in any insurance and the ERA program. The completed form must be sent to the campus Human Resources Office.

If a domestic partnership terminates, a Statement of Termination, UWS-51 (www.uwsa.edu/hr/benefits/ins/uws51.pdf) Adobe Acrobat must be completed and submitted to the campus HR Office along with the applicable insurance and ERA form(s). There must be at least a six-month qualifying period before another domestic partnership can be certified.

*The Board of Regents has some discretion in contractual amendments. UW-System Administration contracts with the plan vendors.

 

Questions about the website? Contact Becky Beahm at beahm@uwosh.edu

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