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This document serves to guide eligible non-paid University of California employees on how to continue or cancel their insurance coverage during unpaid leave. It includes instructions for filling out
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How to fill out 2014 ucsc insurance continuation
How to fill out 2014 UCSC INSURANCE CONTINUATION FORM FOR UNIT 18 BENEFITS BRIDGE
01
Obtain the 2014 UCSC INSURANCE CONTINUATION FORM FOR UNIT 18 BENEFITS BRIDGE from the UCSC website or Human Resources.
02
Fill in your personal information including your name, employee ID, and contact details at the top of the form.
03
Indicate your current insurance coverage options that you wish to continue.
04
Provide details of any dependents that you want to cover under your insurance plan.
05
Review the eligibility requirements to ensure you qualify for insurance continuation.
06
Sign and date the form to confirm that all information provided is accurate.
07
Submit the completed form to the designated Human Resources department by the specified deadline.
Who needs 2014 UCSC INSURANCE CONTINUATION FORM FOR UNIT 18 BENEFITS BRIDGE?
01
Current and former employees of UCSC who are eligible for insurance continuation under Unit 18 benefits.
02
Employees who are transitioning between appointments or leaving but wish to maintain their health insurance coverage.
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What is 2014 UCSC INSURANCE CONTINUATION FORM FOR UNIT 18 BENEFITS BRIDGE?
The 2014 UCSC Insurance Continuation Form for Unit 18 Benefits Bridge is a document used by University of California, Santa Cruz employees in Unit 18 to apply for the continuation of insurance benefits under specific conditions.
Who is required to file 2014 UCSC INSURANCE CONTINUATION FORM FOR UNIT 18 BENEFITS BRIDGE?
Eligible employees who experience certain qualifying events, such as a reduction in work hours or a temporary layoff, are required to file the 2014 UCSC Insurance Continuation Form for Unit 18 Benefits Bridge.
How to fill out 2014 UCSC INSURANCE CONTINUATION FORM FOR UNIT 18 BENEFITS BRIDGE?
To fill out the form, employees should provide their personal information, select the relevant benefits, indicate the qualifying event, and submit the form by following the guidelines provided by the UCSC HR department.
What is the purpose of 2014 UCSC INSURANCE CONTINUATION FORM FOR UNIT 18 BENEFITS BRIDGE?
The purpose of the form is to enable eligible employees to maintain their insurance benefits during periods of transition, ensuring they remain covered under their respective health plans.
What information must be reported on 2014 UCSC INSURANCE CONTINUATION FORM FOR UNIT 18 BENEFITS BRIDGE?
The form must report information such as employee identification details, the type of benefits requested for continuation, the qualifying event leading to the need for continuation, and any relevant dates associated with the benefits.
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