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Spousal/Domestic Partner Healthcare Eligibility Affidavit Gold, Silver or Bronze Rocket Plans Only Employee Name:Spouse/Domestic Partner Name:Rocket #:Please Check:Gold PlanSilver PlanBronze PlanEMPLOYEE A.

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What is spousal/domestic partner healthcare eligibility?

Spousal/domestic partner healthcare eligibility refers to the criteria that must be met in order for an individual's spouse or domestic partner to be eligible for healthcare benefits through their employer.

Who is required to file spousal/domestic partner healthcare eligibility?

The employee is typically required to file spousal/domestic partner healthcare eligibility for their spouse or domestic partner.

How to fill out spousal/domestic partner healthcare eligibility?

To fill out spousal/domestic partner healthcare eligibility, the employee will need to provide information about their spouse or domestic partner, such as their name, date of birth, and relationship to the employee.

What is the purpose of spousal/domestic partner healthcare eligibility?

The purpose of spousal/domestic partner healthcare eligibility is to ensure that the employee's spouse or domestic partner has access to healthcare benefits through the employee's employer.

What information must be reported on spousal/domestic partner healthcare eligibility?

The information that must be reported on spousal/domestic partner healthcare eligibility typically includes the spouse or domestic partner's name, date of birth, and relationship to the employee.

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