UNIVERSITY OF PITTSBURGH POLICY 07-06-08

CATEGORY:              PERSONNEL
SECTION:                  Employee Support
SUBJECT:                 Domestic Partner Benefits
EFFECTIVE DATE:   September 28, 2007 Revised
PAGE(S):                   2

I.    SCOPE

      This policy established specific in-house benefits extended to domestic partners of

      University faculty, staff, graduate students, and others with eligible academic appointments,

      and includes requirements for certifying domestic partnerships and criteria for determining

      eligibility for the benefits.

II.   POLICY

      Certification of Domestic Partnerships

      A domestic partnership, for purposes of this policy, is defined as a committed relationship

      between two adults of the same or opposite sex, which meets the criteria described in the

      University of Pittsburgh Affidavit of Domestic Partnership.  Documentation may be required

      to verify that the criteria are met. See Procedure 07-06-08, Domestic Partner Benefits.

      A completed and notarized Affidavit must be submitted to the Office of Human Resources,

      Benefits Section, as appropriate.  The information will be used by the University for the

      sole purpose of determining eligibility for domestic partner benefits and will be treated as

      strictly confidential insofar as the law allows.

      Benefits

      The following benefits are extended to certified domestic partners of eligible faculty and

      staff:

      -     Health Insurance (medical, dental and vision)

      -     Educational Benefits

      -    University Identification Cards and use of University services provided to ID card holders

      -     Bereavement leave in the case of death of the domestic partner or a parent of the

            domestic partner

      -     Dependent Life Insurance

      The following benefits are extended to certified domestic partners of eligible graduate

      students and others with eligible academic appointments:

      -     Health Insurance (medical, dental and vision)

      Eligibility of faculty, staff, graduate students and others with eligible academic appointments,

      and terms and conditions of the above benefits are governed by the current University

      policies regarding provision of those benefits to spouses.

      Within 30 days of the dissolution of a certified domestic partnership, the faculty or staff

      member, graduate student or other with eligible academic appointment must provide a

      Statement of Termination of Domestic Partner Status to the Office of Human Resources,

      Benefits Section.  Submission of this form will terminate all University benefits for the

      former partner.  Another Affidavit of Domestic Partnership cannot be filed until one year

      after receipt of such notification by the University.

III.  REFERENCES

      Procedure 07-06-08, Domestic Partner Benefits

      Policy 02-07-01, Employee/Spouse/Dependent Scholarships for Faculty

      Policy 07-11-01, Employee/Spouse/Dependent Scholarships for Staff

      Policy 07-10-01, University Identification Cards