Resignation
Paperwork due at Termination
- Health and Dental Insurances
- HealthTrust administers the Health COBRA. Payment is made directly to HealthTrust.
- HealthTrust administers the Dental COBRA. Payment is made directly to HealthTrust.
- General COBRA Information
- Continuation Right Under COBRA
- COBRA FAQ Sheet
- Life Insurance
- Portability Application - Portability of Voluntary Term Life Insurance Form - Employee Only
- Portability vs Conversion Chart - Portability and Conversion - The chart outlines the benefits available when porting or converting coverage.
- LINA - Portability Rate Chart - NYL - LINA Portability Rate Chart
- Conversion Application - Conversion of Group or Employee Life Insurance to an Individual Whole Life Policy
- see website - Accident Conversion Form - Now is the Time – document outlining the conditions under which a person is no longer eligible for group life insurance – option to convert to individual policy w/AD&D
- VALIC – If you participate in the Town’s 457 plan and have any questions, please contact Gregory Nickerson at 603-566-9227/603-594-8340(office) or via email Gregory.Nickerson@aig.com
- NHRS – NH Retirement Services, www.nhrs.org, has a vast array of information relative to your retirement plan on file. Any questions regarding your retirement benefits should be directed to NHRS at (603) 410-3500. If you are not vested with the Town and are not transferring to another NHRS participating employer and wish to receive a return of accumulated funds, please complete the Terminated Member’s Application For Refund of Accumulated Contributions and return it to my attention. I will submit this form to NHRS on your behalf once our section is completed and they will process it after 30 days from last date of employment.
- Exit Interview - Voluntary A link to an exit interview via SurveyMonkey may have been emailed to you and a hard copy/link will be included in the supplemental paperwork. This is a voluntary process. We would welcome your feedback, both positive and negative, so we can work to improve services to our employees.
Attachment | Size |
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Voluntary Town of Milford Exit Interview Form Rev 3.2024 | 152.27 KB |