FAQ: Employee Exit Information

Benefits, Forms, and Contact Info

Benefits

• LTC Continuation Form
• Portability Form Life AD&D
• Sagewell Healthcare Benefits Trust Portability Rates
• Verity Benefit Provider Contacts

Miscellaneous

• FAQ: Exit Information – Employee Contact List
• Notice to Terminating Employees – HIPP Program
• Verity Health System Claim Form 410
• Official Form 410 – Proof of Claim