2019 Open Enrollment: November 1 - November 14

Domestic Partnership Benefits

Eliminating Domestic Partner Benefits for Staff & Non-Bargaining Faculty ONLY

Since federal law now allows everyone to marry, Wright State University will no longer offer benefits related to domestic partners and his/her dependent children after the 2018 calendar year.

Also, no new domestic partner relationships can be established after December 31, 2017.

Domestic Partner

All benefit eligible faculty and staff members may apply for Domestic Partnership (unmarried same sex and opposite sex) benefits. To apply for domestic partner benefits, an employee must establish the Domestic Partnership with WSU's Human Resources by submitting the following documentation:

  1. NOTE: Some of these documents may require sensitive data such as Social Security Numbers, UIDs, Banking information, and more. Documents containing sensitive data should not be scanned to email on Wright State University printers or copiers or attached to email messages. Click here for information about using FileLocker and other alternative methods.

    Performance Evaluation


    Leave of Absence Forms

    Claim Forms

    Enrollment/Change Forms

    Retirement Forms


    Some forms may take longer to download.

    ; and
    1. The City of Dayton Domestic Partner Registry is accepted in lieu of the Affidavit of Domestic Partnership Form. However, employees are required to complete the Affidavit of Domestic Partnership Form (notary not required) to obtain all pertinent information (domestic partner's and their children's information).
  2. Verification of interdependent financial relationship (refer to the Affidavit of Domestic Partnership Form for a list of acceptable documents); and
  3. Certification of Tax-Qualified Dependent Form (if applicable)


The premiums for the employee and his/her dependent children for healthcare (medical, dental and vision) will be withheld on a pre-tax basis. The additional premiums paid by the employee for healthcare coverage of a domestic partner and his/her dependent children, is withheld on an after-tax basis. In addition, the employer value of the selected healthcare for a domestic partner is considered taxable to the employee under IRS rules for federal, state and local taxes; and it reported as income on your annual W2.


During Open Enrollment you will need to enroll yourself and your eligible dependent child (ren) in your chosen medical, dental and vision benefits. Then, for each of these benefits, you will need to make a second elections for your domestic partner (and eligible children).