Get Choice Builder Employee Termination Notification Form (cb ...

Filling out the Choice Builder Employee Termination Notification Form (CB ...) online can be straightforward with the right guidance. This form is essential for notifying about employment terminations, reductions in hours, or loss of life. This guide will provide clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the company name and group number in the designated fields on the form. This information is crucial for identifying the correct employer details.
3. In the first section, fill out the employee's last name, first name, and social security number. Ensure these details match official records for accuracy.
4. Provide the last day employed or eligible by specifying the month, day, and year. This date is important as it determines the end of the employee's coverage.
5. Select the reason for termination from the available options: resignation of employment, hours reduced leading to ineligibility, involuntary employment termination, or deceased. Make sure to choose the correct reason as it affects coverage details.
6. Repeat steps 3 to 5 for any additional employees that are included in this notification up to the maximum allowed by the form.
7. After all applicable fields have been completed, the form must be signed and dated by an authorized group contact who is on file with Choice Builder. This step is crucial for processing the termination request.
8. Finally, review the completed form for any inaccuracies, then save changes, download, print, or share the form as necessary.

Ensure you complete your documentation accurately and efficiently by following these steps online.