Citi Benefits Handbook
If You Terminate Domestic/Civil Union Partner Coverage
To terminate domestic/civil union partner coverage, you must complete a form attesting that your domestic/civil union partnership has ended, or submit a document showing the termination of your domestic/civil union partner registration, as applicable. To request the form, call the Citi Benefits Center through ConnectOne at 1 (800) 881-3938. See the For More Information section for detailed instructions, including TDD and international assistance. Taxes paid on the imputed income are not refundable.
Your domestic/civil union partner and his or her children will be eligible to continue medical, dental, vision and/or HCSA coverage, if applicable, at his or her expense for a period of 36 months.
This coverage will be similar to Consolidated Omnibus Budget Reconciliation Act of 1985, as amended (COBRA), coverage offered to spouses, domestic partners, civil union partners and other covered dependents. See "COBRA" for more information.