Employers are required to certify all employee separations from employment in the Employers section of our website, except for separations due to the commencement of long-term disability benefits, retirement from URS, or death. Outside of these exceptions, employers should complete and submit an Employee Separation Notice (Form ADNT-3).
In addition, employers must complete an Employee Benefits Notification (Form ADNT-2), to inform employees of possible eligibility for retirement benefits and 401(k) or 457(b) plan benefits from URS upon separation. When employees have not been eligible for defined benefit coverage, but have participated in URS Saving Plans through employee and/or employer-paid contributions, the Employee Benefits Notification form provides them with information about withdrawing their balances. Processing the separation certification through our website pre-populates a printed form the employer may present to members for signature.
Employers are required to retain proof an Employee Benefits Notification was given or mailed to members who separated from employment. Employers should not send a copy of the Employee Benefits Notification (Form ADNT-2) to URS; for our purposes, it has been replaced by the online separation action or Employee Separation Notice (Form ADNT-3).
If employers participate in the Public Employees Health Program (PEHP), employees should complete a similar form at separation from employment. Contact PEHP at 801-366-7555 or 800-753-7751 for details.