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Domestic Partners and Healthcare Enrollment Eligibility

Domestic partners of ACERA retirees are eligible to be enrolled in ACERA healthcare plans including medical, dental, and vision. Prior to enrollment, the retiree must complete and have on file with us an Affidavit of Domestic Partnership.

Definition of a Domestic Partnership for ACERA Healthcare Enrollment

A “domestic partnership” can exist between two persons, one of whom is a retired member of ACERA, regardless of their gender. Each of the two persons is considered the “domestic partner” of the other if they both complete, sign, date, and file with ACERA an Affidavit of Domestic Partnership where they attest to the following:

  1. The two parties reside together and share the common necessities of life;
  2. The two parties are not married to anyone; eighteen years or older; not related by blood closer than would bar marriage in the State of California; mentally competent to consent to contract;
  3. The two parties declare that they are each other’s sole domestic partner and they are responsible for their common welfare;
  4. The two parties agree to notify ACERA if there is a change of circumstances attested to in the Affidavit;
  5. The two parties affirm, under penalty of perjury, that the assertions in the Affidavit are true to the best of their knowledge.

Terminating a Domestic Partnership With ACERA

A member of a Domestic Partnership may end the relationship as it concerns eligibility for enrollment in ACERA healthcare plans by filing a Termination of Domestic Partnership Form with ACERA, affirming under penalty of perjury that:

  1. The partnership is terminated, and
  2. A copy of the termination statement has been mailed to the other partner.

Filing a New Statement of Domestic Partnership After Terminating One

No person who has filed an Affidavit of Domestic Partnership may file another such Affidavit until six (6) months after a Termination of Domestic Partnership Form of the previous partnership has been on file with ACERA.

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