Overview
Medical/Dental
Leave of Absence Program
Retirement Plan

Take full advantage of your benefits
If you have any questions regarding your benefits, please contact the HR Benefits Representative for your department:

Medical/Dental

• 2005 Open Enrollment
• BlueCross Information for University of California
• COBRA Open Enrollment Notice
• Continuation of Group Insurance Coverage and Other Options
  
• Continuation Election (UBEN 102) 
• Group Rate Information- 2005
• HMO Medical Transfer Plan UPAY 898 (pdf format)
• HMO Medical Plan Transfer Checklist
• Health Care Facilitator
• Long Term Care

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Leave of Absence Program

• FMLA User Guide - Employee & Employer Rights and Obligations
• Leave of Absence Process and Procedures User Guide for Department Reps and EDB Preparers
• Leave of Absence Notification (LOAN)
• Return to Work/Pay Status Notification (RTW)

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Retirement Plan/403 B/DCP Plans

• Retirement Calculations
• UCFY (UC for Your Self)
• Scholarshare
• Statement of Health Form (PRUDENTIAL)
• Request for Statement of Health Cover Sheet

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