SNAP : MAIN MENU: Department Benefits Representative's (DBR) Toolkit

MAIN MENU: Department Benefits Representative's (DBR) Toolkit

Process	Forms
How to: Apply for COBRA - continuation of benefits Determine Employee Benefits Eligibility Level (BELI) File for Disability (and Pregnancy) Change Life Insurance and/or Disability Plan outside Period of Initial Eligibility (PIE) Maintain Flexible Spending Accounts while on leave without pay while on Family and Medical Leave without pay Transfer to UC Irvine from another UC Campus - without break in service Ordering Benefits forms and Publications online Rehiring UC Retirees - impact on benefits When an Employee Separates - Checklist Your New Employee - Checklist	At Your Service Forms and Worksheets - Access forms (.pdf versions) for: Fund designation and transfer Benefits Retirement Payroll Enrollment worksheets and guides To order large quantities of forms, access the fullfillment site (use your Benefits-issued ID for access) Insurance Claim Forms
Resources	Policies and Guidelines
At Your Service Instructional Guide Benefits Information for New Faculty and Staff Welcome Letter Template New Employee Benefits Orientation (NEBO) Schedule Benefits Education Program 2012 Annual Contribution Limits for 403(b) and 457(b) plans COBRA Rates: 2012 Departmental Assignments Insurance Insurance Carrier - Contact Your Plan Insurance Plan Premium Rates - 2012 Insurance Plan Premium Rates - 2011 Insurance Plan Premium Rates - 2010 Insurance Plan Premium Rates - 2009 UCI Physicians and Surgeons (UPS) Provider ID's (Anthem Blue Cross and Health Net) Leave of Absence - Effect on Benefits Medical Benefits Summary 2011 New Staff Employee Orientation Program Non-Senate Faculty (NSF) Benefits New members information FAQs Period of Initial Eligibility (PIE) Calendar 2012 2011 2010 2009	Limited Appointment Employment Policies Personnel Policies for UC Staff Personnel Procedures for UC Irvine Staff Privacy Rule - HIPAA (Health Insurance Portability and Accountability Act) Retiree Hiring Guidelines - UC
	Contacts
	We can lead you to the right person on the Benefits staff in Human Resources, (949)824-5210