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CONTINUATIONOFEMPLOYEEBENEFITSCOVERAGE LEAVEOFABSENCEWITHOUTPAY×LAYOFF IMP:ThisformmustbecompletedandchequesreceivedbyPEBDwithin60daysofthedatetheleavewithoutpaycommences. Name: S.I.N: Employer:
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How to fill out continuation of employee benefits

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How to fill out continuation of employee benefits:

01
Obtain the continuation of employee benefits form from your employer's human resources department.
02
Fill in your personal information, including your name, address, and contact information.
03
Provide details about your previous employee benefits, such as the type of coverage you had and the date it ended.
04
Indicate the reason for your need of continuation of benefits, such as termination of employment or a qualifying life event.
05
If applicable, provide information about any other insurance coverage you have or will be receiving, such as through a spouse's employer.
06
Sign and date the form, certifying that the information provided is accurate to the best of your knowledge.
07
Submit the completed form to your employer's human resources department within the specified deadline.

Who needs continuation of employee benefits:

01
Employees who have experienced a qualifying event that would cause them to lose their employer-sponsored benefits, such as termination of employment, reduction in work hours, or divorce.
02
Individuals who were covered under a group health insurance plan through their previous employer and wish to continue their coverage for a certain period of time.
03
Dependents of employees who were covered under the employer's benefit plan and would like to maintain their coverage after the employee's eligibility ends, such as children or spouses.
Overall, the continuation of employee benefits is necessary for individuals who want to ensure uninterrupted health insurance coverage and access to other employee benefits after certain qualifying events. By properly filling out the necessary forms and providing accurate information, eligible individuals can continue to receive valuable benefits even after leaving their job or experiencing other life changes.
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Continuation of employee benefits refers to the process of allowing employees to continue receiving certain benefits such as health insurance after leaving their job.
Employers are required to offer continuation of employee benefits to eligible employees who are leaving their job.
Employees can typically fill out continuation of employee benefits forms provided by their employer or benefits administrator.
The purpose of continuation of employee benefits is to ensure that employees maintain access to important benefits such as health insurance even after leaving their job.
Continuation of employee benefits forms typically require information such as employee and employer details, the type of benefits being continued, and the reason for leaving the job.
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