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This document provides instructions for employees on leave without pay on how to continue or cancel their University insurance coverage and outlines the premium payment process and implications of

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How to fill out 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS FOR EMPLOYEES ON LEAVE WITHOUT PAY (LWOP)

01

Retrieve the 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS FOR EMPLOYEES ON LEAVE WITHOUT PAY (LWOP) form from the UCSC website or human resources.

02

Read through the instructions carefully to understand the coverage options available.

03

Fill out the personal information section, including your name, employee ID, and contact details.

04

Indicate your reason for taking leave without pay (LWOP) and the expected duration of your leave.

05

Select your preferred insurance plans to continue during your leave period.

06

Confirm your understanding of the payment responsibilities while on LWOP.

07

Sign and date the form to validate your request for insurance continuation.

08

Submit the completed form to the appropriate human resources department contact as specified in the instructions.

Who needs 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS FOR EMPLOYEES ON LEAVE WITHOUT PAY (LWOP)?

01

Employees of UCSC who are on leave without pay (LWOP) and wish to maintain their insurance coverage during their leave period.

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What is 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS FOR EMPLOYEES ON LEAVE WITHOUT PAY (LWOP)?

The 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS for employees on Leave Without Pay (LWOP) outlines the procedures and options available for maintaining health insurance coverage for employees who are on an extended leave from work without pay.

Who is required to file 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS FOR EMPLOYEES ON LEAVE WITHOUT PAY (LWOP)?

Employees who are taking Leave Without Pay (LWOP) and wish to continue their health insurance coverage are required to file the 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS.

How to fill out 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS FOR EMPLOYEES ON LEAVE WITHOUT PAY (LWOP)?

To fill out the 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS, employees should complete the designated forms by providing necessary personal information, the dates of their leave, and any required signatures, then submit the forms to the relevant department.

What is the purpose of 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS FOR EMPLOYEES ON LEAVE WITHOUT PAY (LWOP)?

The purpose of the 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS is to inform employees about their rights and responsibilities regarding the continuation of their health insurance coverage while they are on leave without pay.

What information must be reported on 2014 UCSC INSURANCE CONTINUATION INSTRUCTIONS FOR EMPLOYEES ON LEAVE WITHOUT PAY (LWOP)?

Employees must report their personal identification information, the duration of the leave, any changes in contact information, and confirm their intention to continue or decline insurance coverage.

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