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<p class=MsoNormal style='margin-bottom:12.0pt'><b><span style='color:#1F497D'><img
width=431 height=92 id="Picture_x0020_1"
src="cid:image002.png@01CB192B.61A2ABD0"><o:p></o:p></span></b></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><b><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'>July 1, 2010<o:p></o:p></span></b></p>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>TO:
Department Heads, MSO's, Managers and Supervisors<br>
<br>
RE: Workers' Compensation Insurance for Out-of-Country Employees<br>
<br>
</span></b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:#1F497D'>****</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>*********************************************************************************<span
style='color:#1F497D'>*</span><br>
Each year, the Office of the President requires each campus to provide a list
of employees who reside and work outside of the United States. These
employees are not covered by the University's general Workers' Compensation
insurance, which is only applicable to employees employed within the
state. In order to determine if any of your employees require this
special foreign insurance coverage, the following criteria would apply:<br>
<br>
-<span style='color:#1F497D'> </span>Permanent employment is outside of the
United States<br>
-<span style='color:#1F497D'> </span>Long term employment outside of the United
States (longer than a three<span style='color:#1F497D'>-</span>month
assignment)<br>
<br>
If employees are only working outside of the United States on a temporary basis
and out of the country only for less than three months - they would be covered
under the University's self-insured program.<br>
<br>
If you have any employees who require this special foreign Workers’
Compensation coverage, please provide the following information to Nini Furst
in the Workers' Compensation Office<span style='color:#1F497D'> </span>via
e-mail at <a href="mailto:nini.furst@ucr.edu">nini.furst@ucr.edu</a><span
style='color:#1F497D'>,</span> by <b><u><span style='color:blue'>Wednesday,
July 14, 2010</span></u></b>:<br>
<br>
-<span style='color:#1F497D'> </span>Employee Name<span style='color:#1F497D'><o:p></o:p></span></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:#1F497D'>- </span><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Hiring
Department<br>
-<span style='color:#1F497D'> </span>Address of Residence (outside the US.)<br>
-<span style='color:#1F497D'> </span>Work Address (outside the US)<br>
-<span style='color:#1F497D'> </span>Payroll Title/Job Description (the job
description can be faxed to X<span style='color:navy'> </span>2-2672)<br>
-<span style='color:#1F497D'> </span>Description of Operation (choose one:
Office, Classroom, Research Lab, Field<span style='color:navy'> </span>Station,
Dormitory)<br>
-<span style='color:#1F497D'> </span>Date of Hire<br>
-<span style='color:#1F497D'> </span>End Date (current or projected)<br>
-<span style='color:#1F497D'> </span>Annual Salary (payroll for <u>07/1/2009 to
-06/30/2010</u>)<br>
<span style='color:navy'>-</span><span style='color:#1F497D'> </span>Dept. FAU<span
style='color:navy'> </span># <br>
<span style='color:navy'><br>
</span>If you have any questions, please contact Nini Furst at ext. 2-4207. <span
style='color:#1F497D'><o:p></o:p></span></span></p>
<p class=MsoNormal><span style='font-size:10.0pt'><o:p> </o:p></span></p>
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