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BOBBY JINDAL ANGELE DAVIS GOVERNOR COMMISSIONER OF ADMINISTRATION State of Louisiana Division of Administration Office of Human Resources MEMORANDUM TO: ALL EMPLOYEES Division of Administration Office of the Governor Auxiliary Units FROM: Employee Administration DATE: June 22, 2010 RE: Notification of your Rights and Responsibilities 1. Mailing Address and Telephone Number – It is your responsibility to assure that both your supervisor and Employee Administration have your current mailing address and telephone number. A change of address or phone number should be made in the Louisiana Employees Online (LEO) system. You have a right to the confidentiality of your mailing address and telephone number. You are responsible for completing the Confidentiality of Home Address and Phone Number Form if you choose to have your home address and/or telephone number regarded as confidential. 3. Prior State Service Information – Your total state service determines the rate that you earn leave as state employee. Your total state service is also used in the event of a layoff. Your total state service is calculated by Employee Administration and made a part of your permanent file. It is your responsibility to list all prior state service so the time can be calculated accurately. 4. Change of Beneficiary – Please ensure that Employee Administration has the most updated and accurate beneficiary information on file. At the time of death, the Division of Administration, Office of Group Benefits, Prudential Life Post Office Box 94095 Baton Rouge, Louisiana 70804-9095 (225) 342-6060 1-800-354-9548 Fax (225) 342-0019 An Equal Opportunity Employer Insurance, and LASERS (Louisiana State Employees Retirement System) will use the last beneficiary information provided. If you have any questions concerning your beneficiary, please contact Employee Administration. 5. Continuation of Health Insurance Following Separation from your Job – Federal legislation referred to as COBRA, mandate the following: A. If you are a current member of a group health insurance plan (ex. PPO, CDHD, MH-HMO or HMO), and if you lose that coverage due to loss of job (for reasons other than gross misconduct on your part), or if you lose your coverage due a reduction from full-time to part- time status, then you have an opportunity for a temporary extension of health coverage. B. If you are a current member of a group health insurance plan (ex; PPO, CDHD, MH-HMO, or HMO), and carry your spouse under your coverage, your spouse has an opportunity for a temporary extension of health coverage should he/she lose coverage for any of the following reasons: 1. The death of the Employee (Spouse) 2. The termination of the employee (spouse) for reasons other than gross misconduct. 3. Divorce or legal separation from the employee 4. Employee becomes eligible for Medicare. C. Any dependent child of an employee covered by a group health insurance plan (ex; PPO, CDHD, MH-HMO, or HMO), has an opportunity for a temporary extension of health coverage if coverage is lost for any of the following reasons: 1. The death of the employee (parent) 2. A termination of the employee (parent) for reasons other than gross misconduct or reduction of hours which results in full-time to part-time employment 3. Divorce or legal separation 4. Employee becomes eligible for Medicare 5. The dependent creases to be a “dependent child” under the Office of Group Benefits. Under the law, the employee or a family member has the responsibility to inform the Office of Group Benefits of a divorce, legal separation, or a child losing dependent status. For any continuation of coverage, application must be made within a limited time frame and you must pay your portion and the state’s portion of the COBRA premium. This continued coverage may remain in effect for varying periods of time, depending upon the circumstances. Information can be obtained from Employee Administration concerning COBRA. If you have any questions regarding any of the above rights and responsibilities, please call Employee Administration.
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