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Domestic Partners

Domestic Partners

Revised Regulations

Regulations published in the Federal Register on October 30, 2015, effective November 30, 2015, amend sections 5 CFR 875.101 and 875.213, expanding the definition of "qualified relative" under the Federal Long Term Care Insurance Program (FLTCIP) to include all domestic partners (both same-sex and opposite-sex) of Federal and U.S. Postal Service employees and annuitants and active and retired members of the uniformed services. As part of these recent changes, FLTCIP eligibility was also extended to adult children of domestic partners by including them in the definition of "stepchildren." Like all qualified relatives, domestic partners and adult children of domestic partners must complete a full underwriting application.

Required Documentation

If you are an eligible domestic partner interested in applying for yourself or have an adult child who is applying, before you or your adult child submit an application for coverage under the FLTCIP, you must first provide documentation (the Declaration of Domestic Partnership form) that you and your partner meet the definition of domestic partnership.

If you are eligible because your partner is a Federal employee, U.S. Postal Service employee, or active member of the uniformed services, you or your partner (the employee) must file the Declaration of Domestic Partnership Form with the employee's agency.

If you are eligible because your partner is a Federal annuitant, U.S. Postal Service annuitant, or retired member of the uniformed services, you or your partner (the annuitant) must file the Declaration of Domestic Partnership Form with the annuitant's retirement system (OPM for most annuitants).

The FLTCIP Application

Once you have submitted the Declaration of Domestic Partnership Form to the appropriate location, you or your adult child can then submit an application to us. You can apply online, download an application, or call us.

Requirements for Domestic Partnership

"Domestic partner" means a person in a domestic partnership with an employee, annuitant, member of the uniformed services, or retired member of the uniformed services.

"Domestic partnership" means a committed relationship between two adults of the opposite- or same-sex in which the partners:

  • Are each other's sole domestic partner and intend to remain so indefinitely
  • Maintain a common residence, and intend to continue to do so (or would maintain a common residence but for an assignment abroad or other employment-related, financial, or similar obstacle)
  • Are at least 18 years of age and mentally competent to consent to a contract
  • Share responsibility for a significant measure of each other's financial obligations
  • Are not married or joined in a civil union to anyone else
  • Are not a domestic partner of anyone else
  • Are not related in a way that would prohibit legal marriage in the U.S. jurisdiction in which the domestic partnership was formed
  • Provide a Declaration of Domestic Partnership demonstrating fulfillment of the above requirements
  • Certify that they understand that willful falsification of the declaration documentation may lead to disciplinary action and the recovery of the cost of benefits received related to such falsification and may constitute a criminal violation under 18 U.S.C. 1001

You or your domestic partner must notify the appropriate employing agency or retirement system if, at any time between the time of application for FLTCIP and the time coverage goes into effect, you no longer meet the definition of domestic partnership, in which case your domestic partnership is deemed terminated. Such notification must be made as soon as possible, but in no event later than 30 calendar days after your domestic partnership is terminated.


The FLTCIP is medically underwritten and all applicants must answer questions about their health on their application. Certain medical conditions, or combinations of conditions, will prevent some people from being approved for coverage.

Effective Date

Eligible domestic partners and adult children of domestic partners can submit an application now. If approved, the effective date of coverage will be the first day of the month following the application approval date.

Read Frequently Asked Questions

Download the Declaration Form:

In order to download the form above, you need the free Adobe Acrobat Reader.

Apply today

Apply Today!

Federal family members can apply for coverage anytime—you do not have to wait for the next open season. Premiums are based on your age and the premium rates in effect at the time we receive your application—the younger you are when you apply, the lower your premium will be.

apply now