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Action: Report Termination to HRS. Forms » Termination Form (completed by employer) Action: Medical/dental/vision coverage ends on last day of month worked. Life insurance/ Long Term Disability/AD&D end on last day worked. Action: COBRA plan offered within 2 weeks of notification; 60-day window of opportunity to make election. Coverage will begin on first of month following cancellation of coverage. Self pay premiums for up to 18 months. Forms » COBRA Rates Action: Within 31 days of termination of insurance. Consult Benefits Specialist Forms » UNUM Group Life Portability Rates Action: To exercise plan withdrawls or rollovers. TRS: contact TRS for the appropriate form at 406-444-3134. Action: Departing employee can either: 1) complete full contribution for the fiscal year and spend contributions until end of fiscal year; OR 2) Cease contributions at last paycheck and spend contributions until last day of employment. View account balances. Forms » Medical Care Expense Claim Form Action: Consult Benefits Specialist |
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