6a. 12B Employee Memo Template_1.docx
DOCX document 34 KB Posted
- Solicitation number
- SFGOV-0000011976
- Issued by
- San Francisco County, San Francisco City, California
About this file
This is a memorandum template for businesses to communicate compliance with Section 12B of the New York Human Rights Law regarding domestic partner benefits. The template is designed for business representatives to distribute to all employees and should be printed on company letterhead. The memorandum establishes that the organization does not discriminate based on protected categories including race, color, creed, religion, national origin, ancestry, age, sex, sexual orientation, gender identity, domestic partner status, marital status, disability, AIDS/HIV status, height, and weight. The document requires businesses to list all employee benefits they provide and confirm that these benefits are offered equally to employees with spouses and employees with domestic partners.
The template specifies that domestic partners are defined as couples registered with any state or local government domestic partner registry, applying to both same-sex and different-sex couples. Any proof-of-relationship requirements and waiting periods must be applied equally to domestic partnerships and marriages, with domestic partner registry certificates accepted as fully equivalent to marriage certificates. The memorandum requires businesses to enumerate their specific benefit offerings, which may include health insurance, dental insurance, vision insurance, retirement plans, bereavement leave, family leave, parental leave, employee assistance programs, relocation and travel benefits, business discounts, credit union access, child care, dependent life insurance, and short-term or long-term disability insurance.
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Text version
EXAMPLE OF 12B COMPLIANT MEMORANDUM TO EMPLOYEES
[DELETE THE LINE ABOVE AND PRINT ON YOUR BUSINESS LETTERHEAD]
| To: | All [Business Name] Employees | |
| From: | [Business Representative Name, Title] Re: | Domestic Partner Benefit Policy |
| Date: | [Date] |
[Business Name] does not discriminate based on the following protected categories:
Race, Color, Creed, Religion, National origin, Ancestry, Age, Sex, Sexual Orientation, Gender identity (transgender status), Domestic Partner status, Marital status, Disability, AIDS/HIV status, Height, Weight
[Business Name] offers the following employee benefits equally to employees with spouses and employees with domestic partners, and to the spouses and domestic partners of such employees [List all benefits provided by business and delete all other benefits]:
· Health Insurance - [List each carrier]
· Dental Insurance - [List each carrier]
· Vison Insurance - [List each carrier]
· Retirement - [List each type of plan, for example, Pension, 401(k), 403(b), Simple IRA]
· Bereavement Leave
· Family Leave
· Parental Leave
· Employee Assistance Program
· Relocation and/or Travel
· Business Discount, Facilities & Events
· Credit Union
· Child Care
· Dependent Life Insurance - [List each carrier]
· Short Term and/or Long-Term Disability Insurance - [List each carrier]
· Accidental Death & Dismemberment Insurance – [List each carrier]
Domestic partners are defined as couples who are registered with any state or local government domestic partner registry. This applies to both same-sex and different-sex couples. Any requirements for proof of relationship and waiting periods are applied equally to domestic partnerships and marriages. Domestic partner registry certificates are accepted as fully equivalent to marriage certificates.
(08-21)
File details come from the government source that posted it. Updated .