Leaving Employment

Termination Checklist
More Information About the Termination Process

Termination Checklist 

Verify the reason for insurance termination is valid.
Obtain the Insurance Termination Form.
Complete the “Employer Information” and “Employee Information” sections.

• The “Insurance Termination Date” is the last month premiums will be paid for the employee. This may or may not be the date the employee left employment.
• For education employers, the length of an employee’s contract must be considered when determining the last day of insurance coverage.
• While the employee may be able to retire or vest in April or May, their employment contract might continue through July, August, or September. When this occurs, the employee’s insurance coverage must continue through the last month of the employment contract.

Indicate the “Reason for Termination”.
Send the employee COBRA and Retirement/Vesting information, if applicable.  (See COBRA and The Retirement Process)
Sign and date the Insurance Termination Form.
If using Web Enrollment, terminate the employee.
If not using Web Enrollment, mail the original form to OSEEGIB.
Keep a copy of the Insurance Termination Form in the employee’s file.

More Information About the Termination Process 

For more information, you and the employee should review Planning for Your Insurance Needs at Retirement.