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Leaving Willamette

BENEFIT CONTINUATION OPTIONS/RIGHTS

Employees leaving employment with Willamette University are afforded certain rights to continuation of coverage under benefit plans in which they are enrolled at the time of separation.  In particular, employees and their enrolled dependents have rights to continuation of coverage under COBRA for Health, Dental, Employee Assistance Program, and medical spending accounts under the Flexible Spending Plan.  The University's third-party administrator, COBRA Management Services, will send a formal notice with election instructions to the last known address of the employee within fifteen (15) days of separation.  In addition, employees enrolled in the group life insurance plan have rights to conversion of those life insurance benefits, as well as voluntary options for portability.  Following is general information regarding benefit continuation as well as forms for electing continuation options under the life insurance:

• COBRA General Notice of Rights PDF Format
• COBRA 2013-14 Rates PDF Format
• Flexible Spending COBRA Election Form WORD Document
• Life Insurance Conversion Form (pdf) PDF Format
• Life Insurance Conversion Form (doc) WORD Document
• Life Insurance Portability Kit PDF Format
• Life Insurance Portability vs. Conversion Information PDF Format

EXIT FORMS/CHECKLISTS

• Separation Clearance Form PDF Format
• Compass Cash Reimbursement Form PDF Format

EXIT INTERVIEW AND SURVEY

While we hate to see members of our Willamette faculty and staff leave the University, we understand that employees will come and go from time to time. Losing valued members of our community can provide learning opportunities for Willamette through feedback we receive during the exit process. We hope departing employees will take the time to participate in the "exit feedback" process either by scheduling an exit meeting with a Human Resources representative, or by completing a paper or online exit survey. Please click on the following link if you wish to take Willamette's exit survey now:

• EXIT SURVEY

If you'd prefer to meet with the Human Resources Director or Assistant Director in-person, please contact the Human Resources office at ext. 6210 to make an appointment.