Severence Forms (PDF)
Benefits Information Packet for the Employee
Please provide the following documents to your employee at the time of the layoff notice and encourage them to contact the Benefits Representative listed on their letter for questions concerning this information.
Indefinite Layoff Benefits Checklist
http://atyourservice.ucop.edu/forms_pubs/checklists_factsheets/indef_layoff.pdf
or
Temporary Layoff Benefits Checklisthttp://atyourservice.ucop.edu/forms_pubs/checklists_factsheets/temp_layoff.pdf
COBRA Rates
In order to continue the medical, dental and vision coverage, the employee will need to apply for COBRA. The COBRA application packet will be sent to the laid off employee from CONEXIS (the University's third party COBRA vendor) approximately 30 days from the date of the separation. Premium information is shown on the attached form.
http://hr.ucsb.edu/benefits/unemployment_insurance.php