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Hayward USD |  E  4154  Personnel

Health And Welfare Benefits   

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INSURANCE/HEALTH AND WELFARE BENEFITS

Responsibility Timeline

Plan Administrator Provide written notice to all At commencement

employees of coverage of coverage

District Notify Plan Administrator of employee Within 30 days of event

death, termination, retirement, Medicare

eligibility or reduction in hours

Plan Administrator Notify employee/beneficiary of Within 14 days

option to elect continued health coverage

Employee/Beneficiary Elect to accept or refuse continuation coverage 60 days

Employee/Beneficiary Notify Plan Administrator of a divorce, legal Upon occurance

separation or termination of a child's

dependent status

Exhibit HAYWARD UNIFIED SCHOOL DISTRICT

version: November 18, 1991 Hayward, California

revised: October 9, 2013