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Chicago Park Disrict Human Resources Policy and Procedures ...

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CHICAGO PARK DISTRICT<br />

DOMESTIC PARTNERSHIP<br />

HEAL TH BENEFITS FACT SHEETS<br />

A qualified domestic partner ("Partner") of an individual employed by the <strong>Chicago</strong> <strong>Park</strong> District<br />

("Employee") shall be eligible for the same health benefits, including health care, dental insurance<br />

<strong>and</strong> vision coverage, that the <strong>Chicago</strong> <strong>Park</strong> District offers to the spouse of an employee eligible for<br />

health benefits.<br />

For a partner to be eligible for coverage, the employee <strong>and</strong> partner must complete <strong>and</strong> file with the<br />

Department of <strong>Human</strong> <strong>Resources</strong>, Benefits Division an "Affidavit of Domestic Partnership for<br />

Benefits."<br />

The employee <strong>and</strong> partner are responsible for providing the required documentation to<br />

satisfactorily support the partner's eligibility for health benefits.<br />

In addition to other requirements, eligibility for domestic partner coverage requires the following.<br />

<br />

<br />

<br />

<br />

Both parties have resided together for the past twelve months.<br />

Neither party is married, nor are they related by blood closer than would bar marriage in<br />

the State of Illinois.<br />

Both parties must be at least eighteen (18) years of age; <strong>and</strong><br />

Both parties must be of the same sex<br />

Any <strong>and</strong> all documents that may be required to substantiate the eligibility guidelines must be<br />

provided by the domestic partners at the time the Affidavit of Domestics Partnership for Benefits is<br />

submitted to the Department of <strong>Human</strong> <strong>Resources</strong>, Benefits Division. Birth Certificates <strong>and</strong> copies<br />

of Illinois Drivers Licenses or State of Illinois Identification Cards will be required. Other<br />

documents may include:<br />

<br />

<br />

<br />

<br />

<br />

Mortgage document, displaying common or joint ownership;<br />

Residential tenant lease, displaying common or joint tenancy;<br />

Motor vehicle title or loan document evidencing joint ownership;<br />

Evidence of a joint checking account or credit card; <strong>and</strong> or<br />

Properly executed Will & Testament identifying the partner of the employee as a primary<br />

beneficiary in the employee's Will & Testament.<br />

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