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Affidavit of Domestic Partnership

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Updated December 31, 2021

A domestic partner affidavit is a declaration made by a couple that both acknowledge being engaged in a domestic partnership (under state law). This gives each partner special rights (such as hospital visitation, inheritance, etc.) without being legally married.

Notary Acknowledgment – It is commonly required for this form to be notarized.

By Type (5)

• Aetna
• Anthem
• Blue Cross / Blue Shield
• CIGNA
• United Healthcare

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Aetna

Download: Adobe PDF

 

 

 

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Anthem

Download: Adobe PDF

 

 

 

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Blue Cross / Blue Shield

Download: Adobe PDF

 

 

 

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CIGNA

Download: Adobe PDF

 

 

 

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United Healthcare

Download: Adobe PDF

 

 

 

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Is a Domestic Partnership Legal?

Domestic partnerships are legal in eight (8) States and one (1) district:

• California (FAM 297.1)
• District of Columbia (§ 32-702)
• *Hawaii (§ 572C-4)
• Maine (22 § 2710)
• Nevada (NRS 122A.200)
• New Jersey (§ 26:8A-4)
• Oregon (ORS 106.310)
• Washington (RCW 26.60.030)
• Wisconsin (§ 770.05)

*Hawaii allows for ‘reciprocal beneficiaries’ that have similar rights as domestic partnerships.

Is Gay Marriage Legal?

Yes, in Obergefell v. Hodges (2015), it was determined that same-sex couples have the right to marry. This struck down all State bans on gay marriage and made it legal to all individuals.