Department Role Employee Role CSS Benefits Unit Process How Qualifying Event is reported to CONEXIS. Notify CSS Benefits if COBRA packet is not

Transcription

1 COBRA ADMINISTRATION CONEXIS currently administers the COBRA process for the University of California (UC). The following is a list of s and the required actions for each. If you need assistance regarding any of these s, please contact Campus Shared Services at (510) , option 3, or hrapscsshelp@berkeley.edu. Type of Qualifying Separation Retirements, except faculty Faculty through Emeritus WOS appointment Separation due to Layoff Separation due to Intercampus Transfer Department Role Employee Role CSS Benefits Unit Process How Qualifying is Problem resolution Complete Retiree Vision Application Form for retirees; Regarding COBRA, problem resolution Complete Retiree Vision Application Form for emeriti; Research need to ensure data is automatically being forwarded to CONEXIS; CSS Benefits may need to generate HCM or PPS reports and send information to CONEXIS; Problem resolution only Problem resolution only Uncertain pending research it may be collected automatically, it may need to be sent by CSS Benefits

2 Separation due to Gross Misconduct DO NOT USE EXCEPT WITH LEGAL ADVICE Death of employee Reduction in hours BELI change resulting in for coverage Department Role Employee Role CSS Benefits Unit Process How Qualifying is Contact the Health Care Counsel and guide Separation data will be Facilitator ( ) if department on whether or automatically sent to you believe an employee is not COBRA should be CONEXIS from data not for COBRA offered; follow up with entered in HCM; CSS because he/she is being legal counsel to determine Benefits will notify dismissed due to gross if COBRA should be offered CONEXIS if employee is misconduct. gross misconduct NOT to receive a COBRA packet Notify CSS Benefits by completing the COBRA Benefits (01/14) form; give employee a copy of the completed form which he/she is no longer Notify CSS Benefits by completing the COBRA Employee s survivors should notify CSS Benefits if COBRA packet is not received within 45 days of (will be part of condolence letter) which you are no longer which you are no longer Problem resolution only when Benefits (01/14) form is received from department. when

3 Approved leave without pay (non- FMLA) Divorce, Legal Separation, Annulment Department Role Employee Role CSS Benefits Unit Process How Qualifying is Benefits (01/14) form; give employee a copy of the completed form Benefits (01/14) form is received from department. which he/she is no longer Enter and maintain leave information in HCM in a Assist employee with completion of UPAY 850, refer the from coverage you no longer want to maintain during leave. (Note: you must reenroll when you return from leave). from coverage by CSS Benefits will generate reports of leaves and work with the Payroll Direct Pay program to notify CONEXIS of the approved leave without pay qualifying event when

4 Termination of domestic partner relationship Department Role Employee Role CSS Benefits Unit Process How Qualifying is. when from coverage, refer by the. Child s or grandchild s loss of eligibility, refer from coverage (except if child is aging out at 23) by when

5 Adult dependent relative s loss of eligibility Department Role Employee Role CSS Benefits Unit Process How Qualifying is the, refer the. from coverage by. when Domestic partner s child s/grandchild s, refer from coverage (except if child is aging out at 23) by when

6 Department Role Employee Role CSS Benefits Unit Process How Qualifying is the. Benefits (01/14) form: UBEN 109: