Posters and Notices

All Items: Employee Benefits

  • Connecticut Continuation Coverage General Notice

    As mandated by the Connecticut Insurance Department, all Connecticut employers should use the Connecticut Continuation Coverage General Notice.

  • Connecticut Continuation Coverage Election Notice

    As mandated by the Connecticut Insurance Department, covered employers should use the Connecticut Continuation Coverage Election Notice.

  • New York Workers' Compensation Notice Poster

    As mandated by the New York Workers' Compensation Board, all New York employers must post the New York Workers' Compensation Notice Poster.

  • Arizona Sample Notice of Continuation Coverage (Mini-COBRA)

    As mandated by the Arizona Department of Insurance, a covered employer must notify an enrollee in writing of the enrollee's qualifying event and rights regarding continuation coverage within 30 days after a qualifying event.

  • Alaska Separation Notice to Employees

    As mandated by the Alaska Department of Labor and Workforce Development's Division of Employment and Training Services, all employers are required to provide this Alaska Separation Notice to Employees.

  • Qualified Small Employer HRA Model Notice

    Under the 21st Century Cures Act, a small employer that has fewer than 50 full-time employees (including full-time equivalent employees) and that does not offer group health insurance to its active employees may provide stand-alone qualified small employer health reimbursement arrangements (QSEHRAs). An employer may use this model notice to fulfill the annual notice requirement.

  • Medicare Part D Creditable Coverage Notice

    Entities that provide prescription drug coverage to Medicare Part D-eligible individuals must disclose to those individuals whether their drug coverage is creditable or noncreditable prior to October 15 each year, when an individual joins the plan and upon the individual's request.

  • Connecticut Unemployment Separation Package (Notice UC-62-T)

    As mandated by the Connecticut Department of Labor, all employers should provide the Connecticut Unemployment Separation Package (Notice UC-61) to employees upon termination.

  • Georgia Mass Separation Notice (DOL 402)

    An employer must file this form with the Georgia Department of Labor within 48 hours following a mass separation of 25 or more employees in one establishment on the same day for the same reason (other than a labor dispute).

  • Georgia Mass Separation Notice - List of Workers (DOL 402A)

    An employer must file this form with the Georgia Department of Labor, in conjunction with DOL 402, within 48 hours following a mass separation of 25 or more employees in one establishment on the same day for the same reason (other than a labor dispute).

About This Category

Templates to help you create legally compliant documents relating to employee benefits.