Domestic Partner Benefits

The City offers medical, dental and vision coverage to qualified domestic partners and domestic partner child(ren) of City employees. This coverage is offered on the same basis as married dependents, subject to all IRS regulations.

If you wish to enroll a domestic partner in benefits, you must review the Domestic Partnership Affidavit and determine if your domestic partner relationship meets the requirements. You will also be required to submit Certification of Domestic Partner Tax Status with your completed affidavit.

Commonly Asked Questions about Domestic Partner

Q. What is a Domestic Partner?
A. An individual of either sex who shares a long-term committed relationship of indefinite duration with a benefit eligible employee.

Q. What criteria will be used to cover a domestic partner?
A. In order to be considered a domestic partner all of the following criteria must be met:

  • The partners must currently reside together in an exclusive mutual commitment, which has existed for no less than one year (from start of benefit coverage), and for which there is mutual intent to continue the relationship indefinitely;
  • Shares your permanent residence
  • Are you jointly responsible for basic living expenses;
  • Are not legally married;
  • Are both at least 18 years of age;
  • Is not a blood relative to whom marriage would be prohibited in Arizona;
  • Are each other’s sole domestic partner;
  • Both partners were mentally competent to consent to the contract when the domestic partnership began;

Q. Is documentation required to prove the domestic partner relationship applies?
A. Yes, the City of Surprise requires that domestic partners provide documentation as evidence of joint responsibility, commitment, of the domestic partnership. At least three (3) of the following items are required, and all of the documentation must be predated by at least twelve (12) months.

  • Joint mortgage, joint property tax identification, or joint tenancy on a residential lease;
  • Joint bank account (checking or savings);
  • Joint liabilities (credit cards, car loans, etc.)
  • Joint ownership of significant property (vehicle, real estate, boat, etc.);
  • Durable property or health care powers of attorney;
  • Naming each other as primary beneficiary in wills, life insurance policies, or retirement annuities;
  • Written agreements or contracts regarding the relationship showing mutual support obligations.

For information on the specific medical, dental and vision carriers, please see the specific carrier webpage.