RCUH Policies and Procedures
RCUH Monthly Premium Rate Sheets
| Related Information | Related Policy/Procedure |
|---|---|
| RCUH Monthly Premium Rate Sheet — Active Employees | 3.520, 3.520A |
| RCUH Monthly Premium Rate Sheet — COBRA | 3.285, 3.520, 3.520A |
| RCUH Monthly Premium Rate Sheet — Retiree | 3.520, 3.520A, 3.560 |
Domestic Partnerships/Reciprocal Beneficiaries
| Forms | Related Policy/Procedure |
|---|---|
| RCUH Affidavit of Dependency for Tax Purposes Form (B-16) | 3.520, 3.520A |
| RCUH Declaration of Domestic Partnership Form (B-14) | 3.215, 3.520, 3.520A |
| RCUH Declaration of Termination of Domestic Partnership Form (B-15) | 3.530, 3.520A |
| RCUH Guidelines and Information on Domestic Partners/Reciprocal Beneficiaries | 3.520, 3.520A |