| Termination General Information (Regular, Non-Regular, Relief status employees) | 3.285 |
| Termination General Information (Non-Recruited employees) | 3.285 |
| COBRA Monthly Rate Sheet (Medical and Dental premiums): Effective 07/01/2021 - 06/30/2022 | 3.285 |
| COBRA Notification - For reference only (actual notification to be sent upon processing of termination action) | 3.285 |
| HDS (Dental) COBRA Enrollment Form | 3.285 |
| Kaiser (Medical) COBRA Enrollment Form | 3.285 |
| UNUM (Long Term Care) Continuation of Coverage Application | 3.285 |
| MetLife (Life Insurance) Portability Application | 3.285 |
| MetLife (Life Insurance) Conversion Application | 3.285 |
| NBS (Flexible Spending Healthcare) Continuation of Coverage Application | 3.285 |
| TIAA (Retirement Account) Options When Terminating with RCUH | 3.285 |
| RCUH Mahalo Survey | 3.285 |
