BENEFITS TERMINATION NOTICE
Research Foundation Regular Employee
M E M O R A N D U M
TO:
FROM: Personnel Administrator
SUBJECT: Research Foundation Regular Employee Benefits Termination Letter
Our Records indicate that you are no longer eligible for Research Foundation (RF) group insurance.
Any benefits in which you were enrolled will be discontinued on the date indicated below. Valuable
conversion and continuation privileges are outlined in the attached summary.
Date of termination of employment___________________
Or
Last Date in benefits eligible status___________________
Date of cancellation of health insurance_______________
Ben_term_notice_reg
August 2015