ࡱ> HJG{ bjbjzz 4" :::::NNNNjN4t:s4u4u4u4u4u4u4$h69l4:4::4 ::s4s414 Dn*Rg2_440429l9449:4\44cf49 : If you are considering taking disciplinary action, please take time to do the following before issuing this letter to your employee: Review Chapter 22: Taking Disciplinary Action, in the Guide to Managing Human Resources on the HR website:  HYPERLINK "http://hrweb.berkeley.edu/guides/managing-hr/er-labor/disciplinary" http://hrweb.berkeley.edu/guides/managing-hr/er-labor/disciplinary. Consult with your appropriate HR representative or  HYPERLINK "mailto:askeru@berkeley.edu" Employee Relations. PUT ON LETTERHEAD TEMPLATE FOR LETTER OF TERMINATION (AFTER REVIEWER HAS RESPONDED) [Date ] [Employee name, job classification] [Address] RE: Termination Dear ________, I have heard back from Reviewer ___________________ regarding the Notice of Intent to Terminate dated_____________. Reviewer ______supports the termination. In accordance with [Section/Article- Policy or Contract], you are terminated from University employment effective [date] for [reason] as described in the Notice of Intent to Terminate dated ___________. Regarding your final paycheck and vacation balance (#hours) payout, [describe payment arrangements] [If applicable- Please contact ([name, phone number) to return keys, etc. and make arrangements to pick up your personal belongings]. You may also contact the person who is responsible for benefits in your department regarding questions about your Benefits. Your medical, dental and vision insurance coverage will end on [date]. (Note: Contact the person who is responsible for Benefits in your department to fill in date) provided you have paid any required employee portion of these premiums. You will receive a COBRA packet from CONEXIS within 4 weeks of your separation date. Please note that you have the option to switch from your current medical plan to the Core Medical plan at the time of COBRA election. UC Retirement Savings Program information concerning any funds you may have in the Deferred Contribution Plan, the Tax-Deferred 403(b) Plan, and the 457(b) Deferred Compensation Plan, can be obtained by contacting Fidelity Retirement Services (formerly FITSCo) at 1-866-682-7787, press 0, Monday Friday, 5 a.m. to 9 p.m., PT, or online at:  HYPERLINK "http://netbenefits.com" http://netbenefits.com. If you are vested in the University of California Retirement Plan (UCRP) due to having five or more years of UCRP Service Credit, and you are under age 50, you may be eligible to elect inactive membership. If you are vested and age 50, or over, you may be eligible to elect retirement income or a lump-sum cash out. To discuss your retirement plan options with a benefits representative, please call RASC at 510-987-0900. You may consult [Section/Article Policy or Contract] for your appeal rights. 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