2012 Benefit Enrollment Guide - Education Management Corporation

About domestic partner coverage
You can enroll your same-sex or opposite-sex domestic partner for medical, dental and vision coverage. To qualify, domestic
partners must be a “spousal equivalent,” meaning among other things, that you are in a long-term committed relationship and
share a primary residence and financial responsibility. A notarized Domestic Partner Affidavit form is required if you are enrolling
a same-sex or opposite-sex domestic partner.
You can find the Domestic Partner Affidavit form on Employee Resource.
Note: Under current regulations, domestic partners can only be enrolled if the employee is a new hire or is enrolling the domestic
partner during the annual Open Enrollment period. Domestic partners are not permitted to enroll outside of these two time frames
and are not eligible for qualifying life event changes.
If you elect domestic partner coverage, the cost for your partner’s benefit coverage will be deducted from your pay on an after-tax
basis, and you will be required to pay tax on the fair market value of a portion of the premium. This is called “imputed income.”
Have more than one plan?
When both you and your spouse have a health plan that covers
the same dependents, we must coordinate benefits with that
other health plan. You cannot file a claim for the same coverage
under both plans. Follow these guidelines:
• You: As an employee and subscriber of the plan, EDMC’s plan
is your primary carrier. Submit claims to our plan first. You may
then submit any unpaid expenses to your spouse’s plan. That
plan may or may not pay an additional amount.
• Your spouse: Your spouse should file claims under his/her
employer’s plan first. If the amount payable under our plan
is greater than what your spouse’s plan paid, you can then file
a claim for that difference under the EDMC plan.
• Your child(ren): If your child(ren) is/are covered under
both plans, payment of benefits depends on whether
your birthday or your spouse’s birthday occurs first in
the calendar year. For example, if your birthday is
before your spouse’s, submit your child(ren)’s bills
to our plan first, then to your spouse’s plan.
• Same employer? If you and your spouse or domestic
partner are both employed by EDMC, you may only
cover dependents under one plan.
Questions? Contact HR One Connect at 1.888.471.3362 (1.888.HR1.EDMC).
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