Voluntary Dental and Vision Coverage
The following eligibility requirements apply to the Trust early retiree voluntary dental and vision coverages.
Retirees
You, as an early retiree under the PAT collective bargaining agreement, and your dependents are eligible to elect to participate in the Trust Early Retiree Voluntary Dental and Vision Plan. To be eligible, you must:
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Be participating in a Trust early retiree medical plan option
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Be receiving a retirement benefit under the Public Employees Retirement System (PERS)
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Apply within 60 days of your initial election of Trust early retiree medical coverage.
Dependents
If you enroll yourself in a Trust early retiree medical plan option, you may enroll your eligible dependents in the same option. Eligible dependents are:
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Your legal spouse or eligible domestic partner
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Your and your legal spouse's or domestic partner's children under age 26, including:
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Biological and adopted children (or children placed with you for adoption)
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Stepchildren
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Eligible foster children who are defined as children placed with you by an authorized placement agency or by a judgment or other order of a court of competent jurisdiction
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Children related to you by blood or marriage for whom you are legal guardian (you will need to provide a court order showing legal guardianship)
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Children for whom there is a court order that meets applicable legal requirements, requiring you to maintain coverage, such as for a child in the custody of a former spouse. You may submit a medical child support order to the Trust Office to determine whether it is qualified. Upon request, the Trust Office will provide you with a copy of the procedures for determining the qualified status of a medical child support order.
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Your, your legal spouse's or domestic partner's children 26 or older who are incapable of self-support due to a physical or mental disability. The child's disability must have started and been reported to the Trust Office before the child reached age 26. To maintain eligibility under this provision, the child must be unmarried, financially dependent on you and incapable of supporting himself or herself.
Enrolling Domestic Partners
Affidavit of Domestic Partnership
The Affidavit of Domestic Partnership is available from the Trust Office at (844) 203-0239, District HR/Benefits at (503) 916-3544, or on the Trust web site at www.sdtrust.com.
To enroll a domestic partner or a domestic partner's dependent children, you must submit a completed Affidavit of Domestic Partnership to the District HR/Benefits Department. The affidavit defines a domestic partnership as two people of the same or opposite sex who:
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Have shared the same residence for at least six months immediately preceding the date of the Affidavit and intend to continue doing so indefinitely
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Have a close personal relationship with each other
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Are not legally married to anyone else
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Are each at least 18 years of age
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Are not related by blood to a degree of kinship that would bar marriage in the state where you live
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Were mentally competent to contract when the domestic partnership began
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Are each other's sole domestic partner
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Are jointly responsible for each other's welfare, including basic living expenses such as food and shelter. (Partners are not required to contribute equally to these expenses.)
When you submit an Affidavit of Domestic Partnership, you may enroll your domestic partner and/or the partner's eligible children who reside in your home for coverage under your Trust-provided medical plan.
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