I-21B-19
Effective Date: | Expiration Date: | Chapters: |
Sept. 14, 2016 | When Superseded | 21 |
The Health Care Benefits Expansion Act of 1992 expanded health insurance coverage to employees' with domestic partners and their family members. The purpose of this instruction is to clarify that health insurance premiums under the District's health plan for domestic partners shall be deducted on an after-tax basis, with certain exceptions, and provide related and revised forms.
The District government offers most of its employees a number of health coverage options. An employee is generally eligible for these health care options if he or she:
District employees who are eligible for health care benefits may elect to enroll their domestic partner and/or dependent children when initially hired, a qualifying event, or during any open enrollment period. An employee will have the option of enrolling in "self + 1" or family coverage.
DEPENDENT CHILDREN: A natural child, adopted child, stepchild, foster child, or child in the legal custody of a domestic partner who is unmarried and under twenty-two (22) years old, is unmarried under twenty-five (25) years old and a full-time student, or is unmarried of any age and incapable of self-support because of a mental or physical disability that existed before the age of twenty-two (22).
DOMESTIC PARTNER: A person with whom an employee maintains a committed relationship and who has registered domestic partnership with the Department of Health (DOH).
The health insurance coverage premiums are shared by the District and the eligible employee, with the District paying 75% of premiums and the employee paying the remaining 25%. The employee's portion of the health insurance premiums are deducted on an after-tax basis directly from his or her paycheck.
An employee who can claim his or her domestic partner or children as dependents, or both, under federal law may pay their portion of the health insurance premiums on a pre-tax basis. A domestic partner, and any children, are considered dependents if the employee is responsible for more than half of their support for the calendar year in which the taxable year of the employee begins and meets the Internal Revenue Services' definition of a qualifying relative [1].
[1] For additional information, refer to the Internal Revenue Code, 26 U.S.C. § 152(d)(2).
OPEN ENROLLMENT PERIOD: Is a period of time occurring once per year, when employees within the District government may enroll or make changes to their elected benefit options, such as health insurance. Open enrollment typically takes place between November and December of each year.
Eligible employees must submit the following documentation to enroll their domestic partner or children in the District's health benefits coverage when initially hired, upon a qualifying event, or during the open enrollment period. The supporting documentation includes:
An employee must provide written notice to the D.C. Department of Human Resources (DCHR) if there are any changes of circumstances attested to in the affidavit.
In addition to the documentation listed above an employee must also submit documents that show the dependency of any child of a domestic partner; such as one (1) of the following:
[2] If the dependent is the subscriber's stepchild, the subscriber must also verify the state-registered domestic partner to enroll the child, even if not enrolling the partner in DCEHB coverage.
[3] If the dependent is the subscriber's stepchild, the subscriber must also verify the state-registered domestic partner to enroll the child, even if not enrolling the spouse/partner in DCEHB coverage.
Eligible employees must enroll to make enrollment changes through the Employee Self Service (ESS) portal in PeopleSoft at https://ess.dc.gov/. Employees must submit a copy of the email confirmation, domestic partnership form, and the supporting documentation, as outlined in the previous section, to the DCHR's Benefits and Retirement Administration, or via email to [email protected].
An employee who separates from the District government may be eligible to continue the health insurance coverage for his or her domestic partner and dependents under a Temporary Continuation of Coverage (TCC). The former employee will be responsible for 100% of the premium cost plus an additional 2% for administrative fees.
Health benefits for domestic partner and dependents will be terminated upon the death of the employee.
Employees should consult with a tax consultant to determine if his or her domestic partner and children can be claimed as dependents.
An employer who claims his or her domestic partner and any children as dependents on his or her health insurance will be required to recertify using DCSF 21B-1274, Domestic Partnership - Certification of Federal Tax Dependent Status, annually with DCHR.
For additional information concerning this instruction, please contact DCHR's Benefits and Retirement Administration by calling (202) 442-9700 or by sending an email to [email protected].