Separation of Employment
The information below explains the post-termination process for all Company benefits. Please note that some sections of this document may not be relevant to all employees, applicability of each section is dependent on the terminating employee’s eligibility if currently enrolled in the relevant Company benefit.
Accrued Salary and Vacation
Your final check(s) will include all of your earned salary and unused, accrued vacation earned through your date of separation. Your final check(s) are subject to payroll deductions and required withholdings.
Relocation Assistance or Signing Bonus Payment
If applicable, as per your offer letter, in the event that you voluntarily resign or are involuntarily terminated “for cause” within the first twelve (12) months of the date your relocation or bonus is paid out, you agree to repay the full amount of relocation assistance or signing bonus within thirty (30) days from your date of termination with the Company.
Benefits
In recognition of your time as an employee, if you are currently enrolled in CEI’s medical, vision, or dental plans, the company will continue to pay both employee and employer premiums for these benefits through the last day of the month in which your employment ends with the Company.
Health Insurance - COBRA
You will receive correspondence from Peak One Administration, our COBRA administrator, regarding continuation of medical, vision, or dental plans benefits. If you have any questions, or to request an election packet to be sent by email, contact:
Peak One Benefits Team
Phone: 877-404-9443
Email: benefits@peakoneadmin.com
Website: www.peakoneadmin.com
Hours: Monday through Friday from 8:00am – 5:00pm PT, excluding holidays
When your active health coverage ends due to the termination of your employment, you will have a limited period of time during which you will have the right to elect COBRA continuation coverage, Marketplace coverage (or perhaps coverage through your spouse’s or other plan).
It is important to note that if you choose to elect COBRA continuation coverage after the termination of your employment and then later decide to voluntarily terminate COBRA coverage, the loss of COBRA coverage will not be a qualifying event that would allow you to enroll in Marketplace coverage (or your spouse’s or other plan coverage) right away.
You must wait until the next open enrollment period for the Marketplace (or your spouse’s or other plan) in order to enroll for such coverage. Please review your post-termination coverage options and notices carefully.
Notice to California residents or participants under plans issued in California: Under California law, you may be eligible for a state mandated continuation of medical coverage (Cal-COBRA) after your federally mandated 18 month COBRA period expires. This law allows certain participants covered under insurance contracts issued in California to continue coverage for a total of 36 months from the time your COBRA coverage began. If you think you may be eligible for this continuation, please contact your current insurance carrier for more information.
Electing COBRA under the Carrot Infertility Health Reimbursement Arrangement (the “Carrot Infertility HRA”)
This section applies only to the Carrot Infertility HRA and is not tied to continuing coverage for any infertility benefits that may have been available under your medical plan. You must be enrolled in employer-sponsored medical plan coverage to elect COBRA coverage under the Carrot Infertility HRA.
You are only eligible for COBRA coverage under the Carrot Infertility HRA if you met all applicable requirements to participate in the Carrot Infertility HRA (and had not affirmatively opted-out of such Carrot Infertility HRA coverage) at the time of your qualifying event. COBRA coverage under the Carrot Infertility HRA will only allow for reimbursement of Covered Infertility Care Expenses (i.e., procedures and services to overcome an inability to have children as indicated by a medical diagnosis of infertility). Other categories of expenses that may have been covered through Carrot before your qualifying event, including adoption expenses, gestational carrier expenses, or elective fertility expenses, will not be covered under COBRA.
If you have any questions about whether you are eligible for COBRA coverage under the Carrot Infertility HRA and/or whether COBRA coverage under the Carrot Infertility HRA is appropriate for you, please contact:
Carrot Fertility, Inc.
COBRA coverage under the Carrot Infertility HRA will be offered only to qualified beneficiaries losing coverage who have remaining benefit funds in their accounts, or benefit funds that will replenish during the COBRA-eligible period. If you have no remaining benefit funds in your Carrot account, and no additional funds will be made available to you during the COBRA-eligible period, you will not be eligible to elect COBRA coverage under the Carrot Infertility HRA.
HSA Bank Account
If you currently have an H.S.A. account, you will be responsible for a monthly service fee in the amount of $1.75 after your employment ends. This fee will be deducted from your account on the last day of each month. If your balance is $3,000 or greater, the monthly fee will be waived.
If you need assistance with your health savings account, contact the Client Assistance Center at 1-800-357-6246 or askus@hsabank.com.
Group Term Life Insurance
If applicable, your coverage will cease on the date of your termination. You have the option to port your insurance to an individual policy with Guardian Life Insurance Company by sending the completed enclosed “Election of Portability Coverage” form within 31 days after your termination date.
Voluntary Life Insurance If applicable, your coverage will cease on the date of your termination. You have the option to port your insurance to an individual policy with Guardian Life Insurance Company by sending the completed enclosed “Optional Insurance Election of Portability Coverage” form within 31 days after your termination date.
Critical Illness Insurance
If applicable, your coverage will cease on the date of your termination. You have the option to port your insurance to an individual policy with Guardian by sending the completed enclosed “Election of Portability Coverage” form within 31 days after your termination date.
Accident Insurance
If applicable, your coverage will cease on the date of your termination. You have the option to port your insurance to an individual policy with Guardian by sending the completed enclosed “Election of Portability Coverage” form within 31 days after your termination date.
Hospital Indemnity Insurance
If applicable, your coverage will cease on the date of your termination. You have the option to port your insurance to an individual policy with Guardian by sending the completed enclosed “Election of Portability Coverage” form within 31 days after your termination date.
ARAG Legal
If applicable, your coverage will cease on the date of your termination. You have the option to port your insurance to an individual policy within 90 days after your termination date. If you have any questions, you may contact ARAG’s Customer Care Center:
Available M – F, 7am – 7pm CST
800.247.4184
Flexible Spending Plan
If you are enrolled in the Company’s Healthcare Flexible Spending account, you have a limited timeframe in which you will have to submit reimbursements for any covered expenses incurred prior to your date of termination. The deadline to submit reimbursements for Healthcare Flexible spending is 90 days following your termination date.
If you have a remaining FSA account balance, you will need to reach out to support@joinforma.com to set up a personal account with Forma.
Follow the steps below to create a personal account. Please note that you will no longer be able to access the Forma portal using your CEI email address after your termination date.
- Please reach out to Forma's support team via support@joinforma.com, providing your full name and your previous employer
- Forma's team will provide you with a User ID and temporary password
- Then click here and follow the login flow using the information from step 2.
Reimbursements can be requested on Forma’s website https://www.joinforma.com/ . If you have a positive FSA account balance, you may elect COBRA continuation coverage. Any contributions made after your employment ends will be on an after-tax basis. COBRA continuation will allow you to continue to incur expenses beyond your termination date through the end of the current plan year.
If you are enrolled in the Company’s Dependent Care Flexible Spending account, you will have 90 days following the close of the plan year to submit reimbursements for any eligible expenses incurred during the plan year, even after your termination date with the Company.
Long Term Care Insurance
If applicable, your coverage will cease on the date of your termination. You may convert your insurance to an individual policy by completing the election form section marked “To Be Completed by the Employee” and mailing the completed form to Unum Life Insurance Company of America LTC Customer Services 2211 Congress Street Portland, Maine 04122. The Basic Care package consists of a $1,000 monthly facility benefit (maximum of three (3) years). In addition to the Basic Care package, eligible employees have the option to buy additional coverage for a spouse, parent, grandparent (employee and spouse), and in-laws. Please note no payment is necessary at the time of enrollment.
401(k)Plan
If applicable, contributions to your 401(k) plan will cease on your termination date or following your final contribution. If your account balance is less than $1,000, a de minimis payout will take place the next quarter and you will receive a reportable distribution check via U.S. mail directly from Fidelity Investments, our 401(k) administrator. Account balances greater than $1,000 but less than $5,000 will be automatically rolled over to an IRA with Fidelity Investments (per plan pro, Fidelity is the custodian of any rollovers) if no action has been taken within the de minimis timeframe. You may contact Fidelity Investments at 800-835-5095, Mon-Fri 830am – midnight EST to take action prior to a de minimis payout or rollover.
Please note, if you have an outstanding loan(s) you will need to contact Fidelity Investments at 800-835-5095 to set up recurring ACH payments if you wish to continue paying on the loan.
Expense Reimbursement
You will have 30 days following your date of termination to submit any outstanding business expenses that you incurred up to your termination date. Please submit copies of your receipts to your manager to be processed.
Return of company property
Please return all company property on your last date of employment. Company property includes but is not limited to badges, cell phones, credit cards, identification cards, office entry cards, building and/or office keys, drawings, business plans, or any other confidential information of the company.
If you are shipping your company issued property back to CEI, please send an email to help@cei.com with your shipping date and tracking information.
Employee Invention and Confidentiality Agreement
I acknowledge that I signed an Employee Invention and Confidentiality Agreement with the Company and that the restrictions on my use or disclosure of Company confidential information survive the termination of my employment.
Please email Benefits@cei.com if you have any questions.