Termination of Domestic Partnership. A member of a domestic partnership may provide notice of the end of said relationship by filing a statement with the County. In the statement, the person filing must affirm, under penalty of perjury, that 1) the partnership is terminated and 2) a copy of the termination statement has been mailed to the other partner.
Termination of Domestic Partnership. Upon termination of the domestic partnership, the employee shall notify the District by filing the appropriate Notice of Termination of Domestic Partnership as follows:
Termination of Domestic Partnership. The employee will be required to notify the Human Resources Department in writing within thirty (30) days of the termination of a domestic partnership. This would occur when the employee’s relationship with the domestic partner no longer satisfies the domestic partner criteria. If the domestic partnership is terminated, active coverage for the domestic partner’s child(ren) will be terminated unless there is a court order requiring the employee to provide benefit coverage. Coverage will terminate on the last day of the month when the eligibility terminates regardless of the date the employee notifies Human Resources. The employee will be reimbursed the domestic partner’s and the domestic partner’s dependent(s)’ premium payments for any noncovered months already paid. If an employee resides in a state or municipality where termination of domestic partnership is applicable, then such termination form must be substituted for written notification. Enrolling a New Domestic Partner Following termination of a domestic partnership, and proper notification of termination of domestic partnership, there will be a waiting period of twelve (12) months after termination of coverage of the prior domestic partner or domestic partner’s dependent child(ren) before the employee is allowed to enroll a new domestic partner or a domestic partner’s dependent child(ren).
Termination of Domestic Partnership. If there is any change in the criteria certified in the Affidavit of Domestic Partnership, you or your domestic partner must complete a Statement Terminating Domestic Partnership within 30 days of the change, and submit this statement to the Human Resources Department. Benefits for the former domestic partner will be discontinued on the last day of the month that the statement is received or on a date specified by the Human Resources Department consistent with existing policies and procedures used to deal with spouses. Once a statement Terminating Domestic Part- nership has been submitted, you may not cover another domestic partner for at least twelve months from the date of termination.
Termination of Domestic Partnership. The employee/retiree has an obligation to ensure that the Business Office receives a written Declaration of Termination of Domestic Partnership, if there is any change in the domestic partnership status that makes the partnership invalid or erroneous. Notice shall be provided to the Business Office within fifteen (15) days of such change. The employee/retiree must drop the domestic partner from coverage by notifying the Business Office. The employee/retiree understands that termination of benefit coverage obtained as a result of this Declaration will be effective on the date which the domestic partnership ends or at such time as coverage terminates in accordance with the terms and conditions of applicable policies. Receipt by the Business Office of a Declaration of Termination of Domestic Partnership from either partner shall be deemed conclusive evidence of the termination of the domestic partnership status for purposes of this benefit. In the event that more than one such Declaration of Termination of Domestic Partnership is provided with conflicting dates of termination of the domestic partnership, the Business Office shall rely on the document with the earlier date. DAUPHIN COUNTY TECHNICAL SCHOOL DOMESTIC PARTNERSHIP DECLARATION STATEMENT EMPLOYEE/RETIREE INFORMATION Employee Last Name: First: Middle: Date of Birth: Gender (Check one) M F Employee Number: Address: City: State: Zip: DOMESTIC PARTNER INFORMATION Last Name: First: Middle: Date of Birth: Gender (Check one) M F Social Security Number: Address: City: State: Zip:
Termination of Domestic Partnership. The employee/retiree has an obligation to ensure that the Business Office receives a written Declaration of Termination of Domestic Partnership, if there is any change in the domestic partnership status that makes the partnership invalid or erroneous. Notice shall be provided to the Business Office within fifteen (15) days of such change. The employee/ retiree must drop the domestic partner from coverage by notifying the Business Office. The employee/retiree understands that termination of benefit coverage obtained as a result of this Declaration will be effective on the date which the domestic partnership ends or at such time as coverage terminates in accordance with the terms and conditions of applicable policies. Receipt by the Business Office of a Declaration of Termination of Domestic Partnership from either partner shall be deemed conclusive evidence of the termination of the domestic partnership status for purposes of this benefit. In the event that more than one such Declaration of Termination of Domestic Partnership is provided with conflicting dates of termination of the domestic partnership, the Business Office shall rely on the document with the earlier date.
Termination of Domestic Partnership. If Your domestic partnership terminates after the Effective Date (including any change in status such that You and Your domestic partner no longer meet any of the requirements outlined in the definition of a dependent), eligibility ends for the domestic partner and the domestic partner's children (unless such children remain eligible by virtue of their continuing relationship to You) on the last day of the monthly period following the date of termination of the domestic partnership. You are required to provide notice of the termination of a domestic partnership within 30 days of its occurrence. You may not file another declaration of qualifying domestic partnership for a non- registered domestic partner within 31 days after a request for termination of a domestic partnership has been received. This termination provision does not apply to any termination of domestic partnership that occurs as a matter of law because the parties to the domestic partnership enter into a marriage (including any entry into marriage by virtue of an automatic conversion of the domestic partnership into a marriage).
Termination of Domestic Partnership. Individuals granted domestic partnership status must report any change in status that terminates the relationship to the Human Resources Office, within forty-five (45) calendar days, by completing a Termination of Domestic Partnership form.
Termination of Domestic Partnership either individual in a domestic partnership may terminate the Domestic Partnership by executing and filing with the Village Clerk a termination of Domestic Partnership in which the individual declares the following:
Termination of Domestic Partnership. The employee will be required to notify the Human Resources Department in writing within thirty (30) days of the termination of a domestic partnership by completing the “Declaration of Termination of Domestic Partnership”. This would occur when the employee’s relationship with the domestic partner no longer satisfies the domestic partner criteria. If the domestic partnership is terminated, active coverage for the domestic partner’s child(ren) will be terminated. Coverage will terminate on the last day of the month when the eligibility terminates regardless of the date the employee notifies Human Resources. The employee will be reimbursed the domestic partner’s and the domestic partner’s dependent(s)’ premium payments for any non-covered months already paid. If an employee resides in a state or municipality where termination of domestic partnership is applicable, he/she must terminate the domestic partnership with the appropriate government agency and provide proof of such termination in lieu of the “Declaration of Termination of Domestic Partnership”.
