Note: U-M benefits for same-sex domestic partners (SSDP) concluded at the end of 2007 to comply with the current Michigan Court of Appeals ruling on same-sex partner benefits. Accordingly, references to U-M recognized Same-Sex Domestic Partnerships in all University policies and documents (other than existing collective bargaining agreements) have been rendered invalid. 

If you and your partner terminate your relationship, your partner is no longer an eligible dependent and you must remove your partner from your benefits by completing and submitting a Notice of COBRA Qualifying Event Form (PDF) within 30 days of the termination. Failure to provide notification and proof of the dissolution of your domestic partnership within 30 days may result in additional and unwanted imputed income, in addition to claims and premium costs to you. If you report the termination within 60 days, information regarding COBRA continuation will be sent to your partner. COBRA continuation can be elected for up to a maximum of 36 months due to a loss of coverage resulting from termination of your partnership. Failure to report dissolution of your relationship after 60 days will result in forfeiture of your partner’s rights to COBRA continuation.

Your partner’s children must also be removed when they no
longer meet the eligibility criteria for each benefit. If
they are removed within the same time frames discussed
above, COBRA continuation information will be sent so that
coverage may be continued.

COBRA FAQs (PDF)

Terminating a Same-Sex Domestic Partnership in Ann Arbor
Regulations concerning the termination of a same-sex domestic
partnership may vary between municipalities. The City of Ann
Arbor Domestic Partnership Ordinance requires that if
the declaration of domestic partnership was filed with the
City Clerk, a Termination of Domestic Partnership notice be
filed with the Clerk for the termination to be valid. If one
partner does not sign the notice, the Clerk mails a copy of
the notice to the last known address of that domestic
partner. If the declaration of domestic partnership was not
filed with the City Clerk, then the notice of the end of the
partnership must either be signed by both partners or be
signed by one partner, notarized and mailed to the last
known address of the other domestic partner. When a domestic
partnership ends, a former partner may cancel a declaration
given to a third party by giving the third party a signed
notice stating that the partnership has ended. (Chapter
110, Section 9:90 of Title IX of the Code of the City of Ann
Arbor)

Forms and Information
Forms and information may be obtained from:

City Clerk's Office
City of Ann Arbor
100 North Fifth Avenue
Ann Arbor, MI 48108

(734) 994-2725