Leave of Absence Benefit Payments

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Instructions:
You must complete each item separately and add to cart. You will need to input your employee number and payroll date for each item you are adding to cart. When finished adding items, click the 'Checkout' button. On the next page you will see a total of all items added to your cart.

*IMPORTANT* Please do not under pay or over pay. Pay the exact amount owed per each category/benefit. If you have questions about what is due for the pay period you are paying, please call Talent (863.687.1310) for the amounts to be emailed to you.

Thank you in Advance!

LRH Employee # *

Payroll End Date *

Amount *

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Item #: 999

Description

While on LOA (Leave of Absence), it is your responsibility to keep Medical benefits current. If payments are not keep current, you risk losing coverage. To process a payment, reference your pay stub to see the exact amount that is due. Payment amounts must be made exactly as indicated on your paystub, no partial payments. If you have ETO, calculate accordingly. If you have questions about you ETO and how much to pay. Please reach out to Talent for the amount due.

For questions or additional information please contact

TalentServices@mylrh.org or call 863-687-1310