Employee Separation List For Classified and Unclassified

Resignation Form | K.A.R. 1-11-1

Steps to take when leaving KUMC:

1. Department initiates separation process

Separations are now performed online by individual departments. This process automatically takes care of any payouts due such as vacation, comp time and holiday comp time for employees separating from the Medical Center, in addition, sick pay for qualified retirees.

Vacation:

You will receive your vacation payout on your last check (via direct deposit if you have direct deposit) if your department has initiated your separation promptly. Any payouts done after the last paycheck for hours worked will not be direct deposited and forwarded to the employee's department for distribution. Please be sure that the Payroll Office at x8-5100 has your most recent address before leaving for W-2 purposes.

Classified and unclassified employees will be paid for all vacation hours accumulated up to 176 hours upon termination of employment and up to 240 hours if retiring from state service.

Sick Leave (Not paid out):

Sick Leave will not be paid out when leaving the institution. Upon reinstatement, each employee who separates from state service, may receive the entire portion of their sick leave if reinstatement occurs within 364 days (one year minus one day) from the effective date of leaving state employment.

Shared Leave: online form

Donations must be made in full hour increments. Employees donating annual (vacation) leave must have at least 80 hours of annual leave after the donation is made. Employees donating sick leave must have at least 480 hours of sick leave after the donation is made.

2. Benefits (913-588-5087)

• Health insurance/Dental coverage will be effective through the end of the month in which you terminate your employment.
• Information regarding continued coverage under COBRA (Continuation of Health Insurance Coverage) will be automatically mailed to your home address by the Division of Personnel Services, Topeka.
• A KPERS (Kansas Public Employees Retirement System) withdrawal form will be sent to your home address after 30 days if you are/were a KPERS participant.
• If you are/were a Board of Regents Retirement Plan participant, you may leave the funds in the account, roll them over to another retirement account or IRA, or withdraw them.
• A Group Life Insurance request for conversion form will be sent to your home address.
• Exit Interview Questionnaires for all benefits eligible employees will be sent to your home address. We do encourage you to fill this out and return it to the Medical Center.

3. Payroll (913-588-5100)

We can not stress the importance of making absolutely sure that Payroll has your current address prior to leaving the organization, so that we can send you your W2, Benefits information, etc.

4. Miscellaneous return to supervisor:

• id badges
• keys
• uniforms
• departmental equipment