Get the free PASSHE Domestic Partnership Certification Form - wcupa

Este formulario es para certificar que existe una pareja doméstica del mismo sexo entre el empleado y el socio doméstico, y para obtener información sobre los dependientes a considerar para beneficios

How to fill out passhe domestic partnership certification

How to fill out PASSHE Domestic Partnership Certification Form

1. Obtain the PASSHE Domestic Partnership Certification Form from the official PASSHE website or your institution's HR office.
2. Read the instructions carefully to understand the required information and necessary documentation.
3. Fill out the personal information section with your full name, address, date of birth, and contact information.
4. Provide your partner's information, ensuring that you have their consent to share their details.
5. Complete the certification section by affirming that you meet the criteria for a domestic partnership as defined by PASSHE.
6. Attach the required supporting documents, such as proof of residence and any other necessary evidence of the partnership.
7. Review the form for accuracy and completeness.
8. Sign and date the form where indicated.
9. Submit the completed form and documentation to the appropriate office, either in person or via the designated submission method.

Who needs PASSHE Domestic Partnership Certification Form?

1. Couples who are in a domestic partnership and wish to access benefits offered by PASSHE.
2. Employees of PASSHE who have a partner and would like to certify their domestic partnership for benefits eligibility.
3. Individuals who want to ensure that their partnership is recognized for health, insurance, and other benefits provided by PASSHE.

People Also Ask about

What is a domestic partnership certification?

The Declaration of Domestic Partnership is used to register a Public Domestic Partnership. A Public Domestic Partnership is a permanent record that is open to public inspection.

Can you add a domestic partner to health insurance in PA?

Can I add my domestic partner to my health plan? Yes. You and your domestic partner can apply for family coverage during Open Enrollment or throughout the year if you experience a qualifying life event.

How do I prove a domestic partnership in PA?

Provide documentation or evidence of your domestic partnership, such as joint bank account statements, shared leases, or shared bills. Include copies of these documents with your verification form. Sign and date the verification form, certifying that all the information provided is true and accurate.

Can a domestic partner be on my health insurance in PA?

Domestic partners qualifying under this exception are entitled to the same benefits as spouses for health and leave purposes. Additionally, domestic partner health benefits may not be personal income for tax purposes in some cases.

Does insurance require proof of domestic partnership?

If you are asking if two people who are not legally married but are girlfriend-boyfriend can be on the same health insurance policy, the answer is no. They would each have to buy an individual policy. Two married people cannot buy individual policies on the open market, or an Obamacare exchange policy.

Does PA recognize domestic partnerships?

As such, you can add a domestic partner, such as a boyfriend or girlfriend, to your health insurance. If you have employer-sponsored insurance, you will need to provide your employer with the document recognizing your domestic partnership. This could be any of the following: Affidavit of domestic partnership.

For pdfFiller’s FAQs

What is PASSHE Domestic Partnership Certification Form?

The PASSHE Domestic Partnership Certification Form is a document used to certify a domestic partnership for employees within the Pennsylvania State System of Higher Education (PASSHE).

Who is required to file PASSHE Domestic Partnership Certification Form?

Employees of the Pennsylvania State System of Higher Education who wish to enroll a domestic partner in their benefits or claim rights associated with domestic partnerships are required to file the form.

How to fill out PASSHE Domestic Partnership Certification Form?

To fill out the form, individuals must provide personal information about themselves and their domestic partner, sign the form, and submit it according to the instructions provided by PASSHE.

What is the purpose of PASSHE Domestic Partnership Certification Form?

The purpose of the form is to formally acknowledge and register a domestic partnership for benefits eligibility, allowing partners to access certain rights and benefits available to employees in a domestic partnership.

What information must be reported on PASSHE Domestic Partnership Certification Form?

The form typically requires details such as names, addresses, signatures of both partners, and a statement confirming that the partnership meets the criteria set forth by PASSHE.