Leaving EOU

Overview

Forms

Please download the following forms to complete your campus clearance. You will need to obtain signatures from all the offices listed on the Campus Clearance Form and turn it in to Human Resources on your last day on campus. Completing the Exit Questionnaire is optional.

• Campus Clearance Form
• Exit Interview / Questionnaire —pdf

以下信息解释了您离开东方时的员工福利状况。如有疑问，请与工资或福利办公室联系。

Payroll

Contact the payroll office to discuss your final pay check. Please provide your new address. Updated records will ensure that you receive your annual W-2 tax form in a timely manner.

Termination of Benefits

• EOU Employees: If your final pay check will pay you for at least 80 hours in your last pay period, PEBB insurance coverage will continue through the end of the following month. If you receive pay for less than 80 hours, coverage will continue through the end of the month in which you terminated.

NOTE:Accrued leave time which is paid in a lump sum upon termination does not apply toward these rules.

Medical and Dental Insurance

You and your eligible dependents may elect to continue your group medical and dental insurance plans for up to 18 months by paying the monthly premium yourself (COBRA Continuation) if you meet the qualifications. Continuation periods may vary depending on the reason for your termination.BenefitHelpSolutionswill mail a Continuation Election Notice to your last known home address. To elect coverage, follow the instructions on the Continuation Election Notice. Questions regarding COBRA eligibility, enrollment forms, or premiums may be directed toBenefitHelpSolutionsat1-800-822-3173. Another option available to you is to convert your group medical coverage to an individual medical plan. Application for conversation must be made directly to the insurance company within 31 days from the expiration date of your group coverage. This option is also available following completion of your continuation of group coverage. Contact your insurance company with any questions you may have.

Life Insurance

标准保险:您可以在相同的保险费率下继续或“取消”您的可选员工人寿和配偶人寿保险。该可携性选项不适用于因完全残疾或退休而终止合同的员工。为了移植配偶人寿保险，必须移植员工人寿保险。您必须在终止日期的31天内选择此选项。(请在您的校园许可证表格上的适当方框内标记您想要转移保险的意愿。)根据可携性选项，5,000美元的基本人寿保险和受抚养人寿保险可能不会继续。您可以联系标准保险公司，在没有可保性证据的情况下，将您的任何人寿保险转换为个人保单。申请必须在赔偿损失后31天内直接向标准保险公司提出。Telephone1-800-521-8780. OPEU Life Insurance: You may convert your life insurance to an individual policy without evidence of insurability. For more information, contact OPEU at1-800-452-2146.

Short and Long Term Disability, Accidental Death & Dismemberment Insurance

There are no conversation or continuation plans available.

Long Term Care

Employees have 31 days to notify UNUM of their request to convert the coverage. You can contact UNUM at 1-800-227-4165. The benefits and premium remain the same, but you will pay the premium directly to UNUM.

Dependent Care Account

Your final check will include your last Dependent Care Account deduction if there are sufficient funds to cover the election. Expenses may be incurred up to your termination date. Claims may be submitted for any dollars remaining in your account through the end of the grace period, same as for active employees.

Public Employees’ Retirement System (PERS)

The Benefits Office will notify PERS that you have terminated employment after final pay has been issued. For information about withdrawing your funds or for additional information, refer to the PERS website:http://oregon.gov/PERS/

Optional Retirement Plan (Unclassified Employees Only)

Contact your ORP company for information about the status of your account.

Tax-Deferred Investment Program

请与您的公司代表联系，以决定如何处理您的TDI帐户。

Deferred Compensation

Contact the Oregon Savings Growth Plan Coordinator at (503) 378-3730 to make sure your Settlement Agreement shows how you want your funds distributed. Nationwide Insurance, Credit Union and other bank deductions: Make arrangements with these companies to make direct payments to them within 31 days of termination.

Vacation

• Classified Employees: If you are a classified employee who terminates after six months of state service, you will be paid for all unused vacation leave up to 250 hours.
• Unclassified Employees: Twelve month unclassified employees may be paid for a maximum of 180 hours of unused vacation leave.

Personal Leave

• 分类员工:离职时，未使用的事假将不被支付工资。这个假期要在你最后一天工作之前使用。但是，如果你在本财年(7月1日至6月30日)工作1040小时之前终止工作，你所休的事假价值可能会从你的最后一张支票中收回。

Sick Leave

Because sick leave is provided to protect your income while employed, no payment is made for accumulated unused sick leave upon termination. Your sick leave balance will be reported to PERS for possible use in calculating your retirement benefits. Affirmative Action/Equal Opportunity Employer committed to the development of a diverse multicultural community.