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Office of Human Resources

Domestic Partner Benefits

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Information on Health Coverage for Domestic Partners of AFSCME, SCUPA, and PSSU employees.

Fact Sheet: Commonwealth Employees' Health Coverage for Domestic Partners Document icon
Information on Domestic Partner benefits for AFSCME, SCUPA and PSSU employees enrolled in the PEBTF health plans for 2013.
FAQs Commonwealth Employees' Health Coverage for Domestic Partners Document icon
Frequently Asked Questions about PEBTF Health Coverage for Domestic Partners.
PEBTF-12 Domestic Partner Verification Statement Document icon
Form to establish domestic partner relationship for health benefits.
PEBTF-13 Domestic Partnership Termination Form Document icon
Form to terminate a domestic partnership.
PEBTF-2 Form Revised 9-2011 Document icon
PEBTF-2 Enrollment/Change form.
 
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  • Human Resources Office
  • Sutton Hall, Room G8
    1011 South Drive
    Indiana, PA 15705
  • Phone: 724-357-2431
  • Fax: 724-357-2685
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  • Office Hours
  • Monday through Friday
  • 8:00 a.m. – 4:00 p.m.