Termination of Domestic Partnership

EVENT DESCRIPTION: Employee must terminate domestic partner and domestic partner’s
dependents

WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days of termination of partnership. If EC-1/EC-1H is filed more than 45 days after date of termination of domestic partnership, employee shall be responsible for paying the employer contribution premiums retroactive to the termination of​ domestic partnership date.

DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H*: Declaration of Termination of Domestic Partnership

EFFECTIVE DATE: First day of the pay period following the date of the termination of the domestic partnership

CHANGES ALLOWED TO PLANS OR TO ENROLL IN PLANS OR ADD DEPENDENTS?: No