Administrator Alert from Shargel & Co. Insurance Services
Timely Topics for Group Benefits Administrators Issue 1
April 2005

Get ready for domestic partner coverage! When your health benefits renew this year, domestic partner coverage must be offered to employees at the same level as spousal coverage.

  • A Message from Account Manager Cecilia Paul
  • New Domestic Partner Coverage Requirements
  • Help us help you!

  • New Domestic Partner Coverage Requirements

    Beginning January 2005, newly issued, amended or renewing California health insurance policies and health care service plans (HMOs) that provide coverage for spouses must cover registered domestic partners in an identical fashion.

      The new law, AB 2208, also applies to other types of insurance regulated by the Department of Insurance, including life and disability.

    What this means...

    If you provide insurance benefits for your employees' spouses, you must provide the same level of benefits to employees' registered domestic partners.

    For example:

    • If you pay for 100% of a spouse's health care premium, you must pay 100% for a domestic partner's health care premium;
    • If you pay 80% for spousal coverage, you must pay 80% for domestic partner coverage;
    • If you do not pay for spousal coverage, you do not have to pay for domestic partner coverage.

    What qualifies as domestic partnership?

    Domestic partners that have filed a valid Declaration of Domestic Partnership with the State of California are guaranteed coverage. Employers may choose a more lenient definition (based on local laws, for example).

    The declaration establishes that the domestic partners:

    • have a common residence
    • are not married or in a domestic partnership with someone else
    • are not related by blood
    • are both at least 18 years of age
    • are capable of consenting
    • are the same sex OR one is age 62 or older and is eligible for Social Security benefits

    Watch out for...

    The federal and state differences can be tricky.

      Federal: Because the federal government does not recognize domestic partners as qualified dependents, premiums paid by the employer for domestic partners are considered federal taxable income and employee contributions will be post-tax.

      Registered domestic partners do not qualify for federal COBRA protection. In addition, Section 125 plans or HSAs cannot be used to pay for domestic partner health expenses.

      California: Premiums for domestic partners registered with the State of California are not considered taxable income by the state. However, if the employer is using a more lenient (e.g. local law) definition of domestic partner, premiums for domestic partners not meeting the state criteria are also subject to state income tax. Consult your accountant or payroll provider for help with the accounting.

      Domestic partners registered with the state are eligible for Cal-COBRA protections.

    What employers should do...

    When your benefits plans renew and when you hire a new employee:

    • advise employees of the opportunity for spousal/domestic parther coverage in writing (we're working on a template)
    • update and distribute your employee handbook and/or company policies
    • at open enrollment, emphasize your company's policy and that this is the time to enroll domestic partners

    The law...

      The legislation, AB 2208, also known as the California Insurance Equity Act, applies to all forms of insurance regulated by the Department of Insurance (including life, disability, auto, rental, etc.)


    Help us help you!

    Help us serve you better! If you run into a challenging benefits issue, let us know! We'll work with you to find a solution-and help others.

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    We want to make your job easier. Call us at 800.733.8692 or...


    The information in this bulletin is provided as a courtesy to our clients and does not represent or replace legal and/or financial advice from a professional attorney and/or accountant.


    A Message from Account Manager Cecilia Paul

    Welcome to our first newsletter created especially for benefits administrators!

    We want to help make your job easier by bringing you timely information on employee benefits issues. Each month we'll cover a specific area. If you have a topic you'd like to see covered, let us know!

    Or if you have a benefits question, please email me at cpaul@shargel.com
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    Main office: Shargel & Co. Insurance Services | 703 Market Street Suite 901 | San Francisco | CA | 94103