Application and Terms. In order to receive any benefit provided for by this Section, an employee and his or her domestic partner shall complete, have notarized, and file with the District a Vallejo City Unified School District Affidavit of Domestic Partnership (Attachment 1a). The form shall also include a signed statement indicating that the employee agrees that he or she is required to reimburse the District for any expenditure made by the District for any administrative charges or other costs on behalf of the domestic partner if any of the submitted documentation is found to be incomplete, inaccurate, or fraudulent. Employer-paid health care coverage for the domestic partner and dependents is considered taxable income to the employee unless the domestic partner/dependent is a dependent as that term is defined by Section 152(a) of the Internal Revenue Code. This benefit coverage is subject to federal income tax and must be reported as imputed income on the employee’s Form W-2. The District must pay FICA and Medicare taxes on these amounts and ensure adequate withholding. The non-employee domestic partner does not have any rights to continuing coverage under federal law through COBRA or under any state law. The District shall be indemnified by the employee against any legal action pursued by another party under community property, contract, or family laws.
Appears in 2 contracts
Sources: Contract Between Vallejo City Unified School District and Vallejo Education Association, Contract Between Vallejo City Unified School District and Vallejo Education Association
Application and Terms. In order to receive any benefit provided for by this Section, an employee and his or her domestic partner shall complete, have notarized, notarized and file with the District a Vallejo City Sonoma Valley Unified School District Affidavit of Domestic Partnership Partner Affidavit. (Attachment 1aSee Appendix B-1). The form shall also include a signed statement indicating that the employee agrees that he or she is required to reimburse the District for any expenditure expenditures made by the District for any administrative charges or and other costs on behalf of the domestic partner if any of the submitted documentation is found to be incomplete, inaccurate, inaccurate or fraudulent. Employer-paid health care coverage for the domestic partner and dependents is considered taxable income to the employee unless the domestic partner/dependent partner is a dependent as that term is defined by Section 152(a) of the Internal internal Revenue Code. This benefit coverage is subject to federal income tax and must be reported as imputed income on the employee’s Form W-2. The District district must pay FICA OASDI, Medicare and Medicare any applicable taxes on these amounts and ensure adequate withholding. The non-employee domestic partner does not have any rights to continuing coverage under federal law through COBRA or under any state law. The District shall be indemnified by the employee against any legal action pursued by another party under community property, contract, or family laws.
Appears in 1 contract
Sources: Certificated Contract
Application and Terms. In order to receive any benefit provided for by this Sectionsection, an employee and his or her domestic partner shall complete, have notarized, and file with the District a Vallejo City an Alameda Unified School District Domestic Partner Affidavit of Domestic Partnership (Attachment 1aAppendix H). The form shall also include a signed statement indicating indicating that the employee agrees that he or she is required to reimburse the District for any expenditure made by the District District, for any administrative charges or charges, and other costs on behalf of the domestic partner if any of the submitted documentation is found to be incomplete, inaccurate, or fraudulent. Employer-paid health care coverage for the domestic partner and dependents is considered taxable income to the employee unless the domestic partner/dependent partner is a dependent of the employee as that term is defined by Section 152(a) of the Internal Revenue Code. This benefit coverage is subject to federal income tax and must be reported as imputed income on the employee’s 's Form W-2. The District must pay FICA and Medicare FUTA taxes on these amounts and ensure adequate withholding. The non-employee domestic partner does not have any rights to continuing coverage under federal law through COBRA or under any state law. The District shall be indemnified by the employee against any legal action pursued by another party under community property, contract, or family laws.
Appears in 1 contract
Sources: Collective Bargaining Agreement
Application and Terms. In order to receive any benefit provided for by this Sectionsection, an employee and his or her domestic partner shall complete, have notarized, and file with the District a Vallejo City an Albany Unified School District Domestic Partner Affidavit of Domestic Partnership (Attachment 1aExhibit P). The form shall also include a signed statement indicating that the employee agrees that he or she is required to reimburse the District for any expenditure expenditures made by the District District, for any administrative charges or charges, and other costs on behalf of the domestic partner if any of the submitted documentation is found to be incomplete, inaccurate, or fraudulent. Employer-paid health care coverage for the domestic partner and dependents is considered taxable income to the employee unless the domestic partner/dependent is a dependent as that term is defined by Section 152(a) of the Internal Revenue Code. This benefit coverage is subject to federal income tax and must be reported as imputed income on the employee’s 's Form W-2. The District must pay FICA and Medicare FUTA taxes on these amounts and ensure adequate withholding. The non-employee domestic partner does not have any rights to continuing coverage under federal law through COBRA or under any state law. The District shall be indemnified by the employee against any legal action pursued by another party under community property, contract, or family laws.
Appears in 1 contract
Sources: Collective Bargaining Agreement
Application and Terms. In order to receive any benefit provided for by this Section, section; an employee and his or her domestic partner shall complete, have notarized, and file with the District a Vallejo City an Albany Unified School District Domestic Partner Affidavit of Domestic Partnership (Attachment 1aExhibit Q). The form shall also include a signed statement indicating that the employee agrees that he or she is required to reimburse the District for any expenditure made by the District District, for any administrative charges or charges, and other costs on behalf of the domestic partner if any of the submitted documentation is found to be incomplete, inaccurate, or fraudulent. Employer-paid health care coverage for the domestic partner and dependents is considered taxable income to the employee unless the domestic partner/dependent is a dependent as that term is defined by Section 152(a) of the Internal Revenue Code. This benefit coverage is subject to federal income tax and must be reported as imputed income on the employee’s 's Form W-2. The District must pay FICA and Medicare FUTA taxes on these amounts and ensure adequate withholding. The non-employee domestic partner does not have any rights to continuing coverage under federal law through COBRA or under any state law. · The District shall be indemnified by the employee against any legal action pursued by another party under community property, contract, or family laws.
Appears in 1 contract
Sources: Csea Agreement
Application and Terms. In order to receive any benefit provided for by this Section, an employee and his or her domestic partner shall complete, have notarized, and file with the District District, a Vallejo City Unified Twin Hills School District Domestic Partner Affidavit of Domestic Partnership (Attachment 1asee Appendix J). The form shall also include a signed statement indicating that the employee agrees that he or he/she is required to reimburse the District for any expenditure expenditures made by the District for any administrative charges or and other costs on behalf of the domestic partner if any of the submitted documentation is found to be incomplete, inaccurate, or fraudulent. Employer-paid health care coverage for the domestic partner and dependents is considered taxable income to the employee unless the domestic partner/dependent partner is a dependent as that term is defined by Section 152(a) of the Internal Revenue Code. This benefit coverage is subject to federal income tax and must be reported as imputed income on the employee’s Form W-2. The District must pay FICA OASDI, Medicare, and Medicare any applicable taxes on these amounts and ensure adequate withholding. The non-employee domestic partner does not have any rights to continuing coverage under federal law through COBRA or under any state State law. The District shall be indemnified by the employee against any legal action pursued by another party under community property, contract, or family laws.
Appears in 1 contract
Sources: Collective Bargaining Agreement