Domestic Partner Affidavit With Ad And D

State:
Multi-State
Control #:
US-02268BG
Format:
Word; 
Rich Text
Instant download

Description

The Domestic Partner Affidavit with AD and D is a crucial document intended for employees who wish to declare their domestic partnership to their employer for benefits eligibility. This affidavit outlines the requirements necessary to establish a domestic partnership, which includes being 18 years or older, living together for at least six consecutive months, and demonstrating mutual responsibility for each other's welfare and expenses. It also details the documentation needed to support the claim, such as joint ownership of property or accounts and beneficiary designations. Employees must be aware that providing false information may lead to disciplinary action and that the affidavit's validity is subject to specific conditions, such as a twelve-month waiting period before filing another affidavit after termination of a partnership. The form is primarily beneficial to attorneys, partners, owners, associates, paralegals, and legal assistants as it helps them ensure compliance with workplace policies regarding domestic partnerships, facilitates the legal benefits available, and supports crucial documentation practices. Understanding and utilizing this form can foster informed decisions surrounding domestic partnerships and related employer benefits.
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How to fill out Affidavit Of Domestic Partnership For Employer In Order To Receive Benefits?

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FAQ

One simple way to do the calculation is to determine the difference between your company's cost of an employee-only monthly premium and the cost of an employee-plus-one monthly premium. Multiply that number by 12 and you will get your total.

Federal law treats benefits for spouses, children and certain dependents the same way. However, a domestic partner is not considered a spouse under federal law.

This plan covers your spouse or domestic partner for 60% of your coverage amount. If eligible children are covered, then your spouse or domestic partner is covered for 50% of your amount and each child for 20%.

The imputed income reflecting the additional employee and LANL-subsidized (employer) medical costs will show on your payslip as Imputed Inc DP. Your federal and state tax withholding will be increased to reflect this higher income and will therefore impact your paycheck.

Imputed income is defined as the value of the domestic partner coverage minus the after-tax amount contributed toward the coverage.

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Domestic Partner Affidavit With Ad And D