For regular (full-time) personnel leaving the Penn State College of Earth and Mineral Sciences Check List
(revised )
Upon termination, you may have questions regarding your last paycheck, continuation of benefits, return of University keys, parking permits, and so forth. To assist you with these inquiries, the following information is provided (also, refer to HR-55 of the PSU Policy Manual)
1. EMPLOYEE BENEFITS-CONTACT EMPLOYEE BENEFITS DIVISION (865-1473).
The University's group health insurance program (Medical/Dental/Vision coverage, Life Insurance, VADD, LTD, and the Maintenance Prescription Drug Plan) generally covers the faculty or staff member until the end of the pay period in which the termination is effective. Conversion privilege does exist for some group insurances.
You may be eligible for continuation of health care benefits under the Consolidated Omnibus Budget Reconciliation Act ( COBRA ). After 18 months of COBRA coverage, you may contact
HealthAmerica about a conversion policy. If interested, contact HealthAmerica Member Services
Department, 814-231-8970 or write to them at 1850 East Park Avenue, State College, PA 16803.
Educational Privileges (see HR-36 and HR-37 for effective date of termination).
2. RETIREMENT CONTRIBUTIONS
SERS (State Employees Retirement System) -Contact your SERS counseling center by calling 863-6505 or, outside the State College area, call the toll free number 1-800-633-5461 . SERS requires that any person, non-vested as well as vested, who terminates from Penn State be advised to contact his or her counseling center. Penn State's Employee Benefits Division no longer provides the application for refund of member's contributions and interest.
TIAA (Teachers Insurance and Annuity Association) -Write to TIAA at 730 Third Avenue, New York, NY, 10017-3206 (toll free: 1-800-842-2776)
3. CHANGE OF ADDRESS -If you change your address after your termination, or have previously changed your address without reporting it, a new W-4 Form must be on file to ensure that you receive your W-2 Form for income tax purposes. If you have not received your W-2 Form by January 31, you will need to contact the Payroll Office at 814-865-7621.
4. Eligibility for UNEMPLOYMENT COMPENSATION BENEFITS is a responsibility of the Office of Employment Security. Please direct inquiries regarding that benefit to the local Office of Employment Security in the area in which you reside.
5. Arrangements must be made with the Human Resources Representative to secure the FINAL PAYCHECK , if your usual method of paycheck receipt is inappropriate . For EMS, contact Susan Hull, 116 Deike Building, (814) 865-6546.
6. RETURN ALL UNIVERSITY PROPERTY
Contact the EMS Dean's Office, 116 Deike Building, 814-865-6546, to return equipment , parking permits , and keys .
Return all other University property to the appropriate office(s), e.g., American Express Card, telephone credit card, library books, and so forth.
7. SAFETY -If it applies to your situation, assure that all containers of chemicals in your control are clearly labeled as to the contents, and all chemical waste is properly manifested to the Office of Environmental Health and Safety.
8. VACATION PAY - Staff members be sure to give your vacation and sick leave record card to your supervisor. This card is necessary when requesting payment for any unused vacation days (and in some instances sick time) that may be due you.
9. EXIT QUESTIONNAIRE -A confidential exit questionnaire is obtainable from either your departmental office or from our office.
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