Waiver for Less Than Full Year. If I drop healthcare coverage before the 1st of any month, I will be credited with a full month for purposes of the waiver. I will thereinafter receive 1/12 of the appropriate waiver sum for each month I waive healthcare coverage. Payment will be made in the last paycheck issued in July and any remainder due me as a result of my healthcare waiver for previous months shall be paid to me in the last paycheck issued in the following January. Date: Employee Signature Employee β Print Full Name
Appears in 4 contracts
Samples: Agreement, Niagara Agreement, Agreement