Section 0780-05-05-.05 - RECORDS AND NOTICE OF BENEFITS(1) Each personnel service, temporary help services firm, contract labor firm or employee leasing organization that provides benefits to the employees it furnishes to perform services for others, shall keep and retain for a period of two (2) years records showing that each employee, at the time of hire or acceptance for employment by the firm, has received a list of the benefits offered by the firm at that time.(2) Such records must be kept by the firm only with respect to the employees it furnishes to others and not its full-time staff employees or, in the case of personnel services, candidates for permanent placement with other employers.(3) The records required under this rule should be kept at the address where the employee was initially hired or accepted for employment.(4) The following is a sample form that may be used to show compliance with the notice requirements. The form is illustrative only and firms may use other forms, provided they satisfy the intent of these rules.ABC Firm
I understand that ABC Firm is my employer and is responsible for providing me with worker's compensation coverage, unemployment insurance, overtime pay as provided by law, etc. (for example, health insurance, vacation pay, and other benefits, if applicable).
I understand that if I have any questions regarding my benefits or any changes in my benefits, I should contact my ABC supervisor.
By my signature I acknowledge receipt of a copy of this document.
Employee Signature Date
(a) If benefits are provided by a third person, the firm furnishing the employees shall notify the employees of such third person and how to obtain information regarding the benefits offered by such person.Tenn. Comp. R. & Regs. 0780-05-05-.05
Original rule filed February 6, 1991; effective March 23, 1991.Authority: T.C.A. §§ 62-31-202 and 62-31-207(a).