***Due to a legislative change, the City of Madison will no longer be allowed to offer health insurance, dental insurance, or life insurance benefits to its employees' domestic partners beyond December 31, 2017. As of September 22, 2017, the Department of Employee Trust Funds no longer accepts Affidavits of Domestic Partnership. The domestic partner benefits information below will be updated as of January 1, 2018.***

How to Declare

Under the State guidelines, a domestic partner is defined as follows:

  • Both individuals are at least 18 years old and legally competent.
  • Neither individual is married or in a domestic partnership with another person.
  • The individuals are not related by blood in any way that would prevent marriage under Wisconsin law.
  • The individuals consider themselves to be members of each other’s immediate family.
  • The individuals agree to be responsible for each other’s basic living expenses.
  • The individuals share a common residence.

Sick Leave, Bereavement Leave, FMLA & Dental Insurance

In order to declare a family partner relationship with the City, an employee must fill out a Family Partner Designation Form. This form allows employees to take sick leave, bereavement leave, and FMLA for domestic partners, as well as add domestic partners to their dental insurance plans.

Please note that this form does not allow employees to add partners to their health insurance plans.

Health Insurance

In order for a domestic partner to qualify for benefits administered through the Department of Employee Trust Funds, including health insurance, an Affidavit of Domestic Partnership (ET-2371) must be filed directly with ETF certifying that the couple is in a domestic partnership. A copy of ETF’s documentation of acceptance of the affidavit should be provided to City of Madison Human Resources.

Additionally, a Health Insurance Application/Change Form (ET-2301) must be filed with City Human Resources within 30 days of the effective date of the domestic partnership.

Benefits Available to Domestic/Family Partners

Sick Leave Employees are allowed to use sick leave to take care of a domestic/family partner, and members of the partner’s family.
Bereavement Leave Employees receive up to 3 days without loss of pay in the case of death of a domestic/family partner, and members of the partner’s family.
FMLA Employees can request up to 2 weeks of unpaid leave to care for a domestic partner or parent of a domestic partner.
This is in compliance with Wisconsin FMLA. Federal FMLA does not apply to domestic partners.
Dental Insurance The City’s dental insurance plan offers coverage for an employee’s domestic partner and children of a domestic partner.
Health Insurance The City’s health insurance plans offer coverage for an employee’s domestic partner and children of a domestic partner.
Please note that additional forms must be filled out for a domestic partner to receive health benefits. See above for details.

More Information

For more information, see the Employee Benefits Handbook.​

Domestic/Family Partnership benefits defined by:
City of Madison - Procedures For Designation of "Family Partner", APM 2-14

Legalization of Same-Sex Marriage in Wisconsin10/6/2014