Indiana State University Same Sex Domestic Partner
Benefits Policy
Indiana State University is committed
to the equitable availability of family benefits and privileges among
both married employees and those employees living in certified same sex
domestic partnerships. Therefore, the following benefits are
available to employees living in certified same sex domestic
partnerships in accordance with the eligibility guidelines outlined
below:
· Health, dental and prescription
drug coverage
· UnitedHealthcare Vision, if
permitted by the contract
· Supplemental Dependent Life
Insurance, if permitted by the contract
· Tuition Waiver (spouse/partner and
dependent child fee waiver)
· Facility privileges such as library
utilization, athletic events, recreational sports facilities, etc
Eligibility: Faculty and staff members seeking
benefits for a same sex domestic partner must complete and sign an
Affidavit of Same Sex Domestic Partnership form that certifies that they
meet the following eligibility criteria:
1. Both individuals are each other’s
sole same sex domestic partner and intend to remain so indefinitely; and
2. Both individuals are not related
by blood; and
3. Both individuals are the same sex,
not married to anyone else, and at least 18 years of age; and
4. Both individuals are in a
relationship with each consider to be the functional equivalent of
marriage and share joint financial responsibility;
5. Both individuals have resided
together continuously in the same residence for at least six (6)
calendar months prior to applying for coverage under Indiana State
University’s same sex domestic partner benefits and intend to continue
to reside together indefinitely.
A child or children of a certified
domestic partner, must meet the following additional eligibility
criteria for coverage under Indiana State University’s same sex domestic
partner benefits:
1. Children must reside in the
household and the domestic partner must be responsible for the child(ren)’s
well being; or
2. The domestic partner is required
to provide coverage for the child(ren) by court order; or
3. The child(ren) qualifies as the
domestic partner’s dependent(s) for tax purposes under the current
federal guidelines; and
4. The child(ren) meet and continue
to meet the eligibility requirements as outlined by each individual
benefit provider.
Enrollment: To apply for same sex domestic
partner benefits, an employee and their domestic partner must complete
and sign the appropriate
Affidavit of Same Sex Domestic Partnership
with required supporting documentation (i.e., proof of joint residence,
and joint financial responsibilities). Once signed and submitted,
the employee will follow the established benefit enrollment procedures
already in place at the University.
Dissolution
of a Same Sex Domestic Partnership:
Employees receiving benefits under a domestic partnership must notify
the HR/Staff Benefits Office within 30 days of dissolution of the
relationship. The employee will be required to sign a
Dissolution of Same Sex Domestic Partner Affidavit
and will be subject to a twelve-month waiting period before applying for
subsequent domestic partner benefits under the guidelines above.
Tax
Information Regarding Health Care and Tuition Benefits: In compliance with IRS regulations concerning domestic
partner benefits, Indiana State University is required to report the
“fair market value” of health insurance benefits extended to same sex
domestic partners and their dependent children as taxable income to the
employee. However, if such individuals qualify as tax dependents
under Internal Revenue Code, Section 152, the employee will be required
to complete and sign a Declaration of Tax Dependent Status for
submission to the Internal Revenue Service. Please note that
Section 152 dependent status can only be claimed during the open
enrollment period for tax treatment in the following tax year.
Additionally, IRS regulations require
that the “fair market value” of tuition benefits extended to same sex
domestic partners or to a domestic partner’s dependent child(ren) be
treated as taxable income to the employee. Exception will be made
if such dependent children are legal dependents of the employee (i.e.,
adopted).
Notice: Indiana State University reserves
the right to unilaterally change the terms or conditions for
qualification, or discontinue eligibility for its Same Sex Domestic
Partnership Benefits at anytime without notice.