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Leave of Absence
A leave of absence is an approved absence without pay for a maximum period of one year. This section addresses maintenance of group benefits while in a no-pay status. Questions regarding eligibility for leave of absence, including the process to request approval, must be directed to your departmental personnel representative.
A leave of absence is an approved absence without pay for a maximum period of one year.
Maintaining Group Benefits While On An Approved Leave Of Absence (LOA) Without Pay.
Group Benefits cost depends on the type of leave. If your leave is illness related (i.e. Family Medical Leave-FMLA, disability, worker’s compensation, maternity etc.), you will be responsible for paying the benefit plan deductions that are usually withheld from your biweekly paycheck. If your leave is not illness related (i.e. educational, suspension, personal, etc.), you will be responsible for paying both the employee cost and County contributions. Your Department Personnel Representative (DPR) will provide you with an LOA information package, billing notice and remittance form. Contact your DPR for additional information related to military leave.
Making payments while in Leave Of Absence (LOA)
The first payment is due within two weeks of your last insurance payroll deductions. Thereafter, premium payments are due biweekly, in advance of the pay period to be covered. If coverage is cancelled due to non-payment of premiums when due, you will only be allowed to re-enroll during the next annual open enrollment period. Your DPR will provide you with a leave of absence package that explains the payment process to maintain your insurance coverage while on leave. It also includes instructions on where payments must be sent. If you do not receive this information when on an approved LOA, please follow-up with your DPR immediately.
Deleting Dependents from Coverage
You may delete your dependent(s) while on an approved leave without pay by submitting a completed Flexible Benefits Change in Status Form and Benefit Election Change Form . You must submit these forms to your DPR within 45 days of being in a no-pay status.
Temporary Health Insurance Cancelation While On An Approved Leave Of Absence
You may submit a completed Change in Status Form and Benefits Election Change Form within 45 days of being in a leave without pay status to temporarily cancel your health insurance coverage. To reinstate coverage upon returning to pay status (within 45 days), submit a new Change in Status form and Insurance Status Change Form to your DPR requesting the coverage reinstatement. Be aware that life insurance and disability will not be automatically reinstated. You will be subject to the medical review process and approval is not guaranteed by the insurance carrier. If approved, coverage will not be effective until you are actively at work.
Reporting Changes In Family Status
Complete the Flexible Benefits Change in Status Form and the Benefit Election Change Form , if you experience a family status change (adding newborn, divorce, etc.). Submit the forms to your DPR within 45 days of the event (60 days for newborns, adoption\placement for adoption). If the status change results in a premium adjustment, contact your DPR to determine the cost for the current employee biweekly rates. Follow-up with your DPR if you do not receive a revised LOA billing notice. Do not delay the payment for this reason, otherwise you risk having your coverage cancelled for non-payment. It is the employee’s responsibility to submit the insurance payments in a timely manner and for the correct amount.
Insurance Coverage Cancellation For Non-Payment Of Premiums
If your coverage is cancelled for non-payment of premiums, you must wait until the annual open enrollment period to re-enroll. Coverage will be effective January 1, except for optional life insurance and income protection (disability) which are subject to medical review and approval is not guaranteed. If approved, coverage will not be effective until you are actively at work.Back to Top Page Last Edited: Mon Oct 20, 2014 12:06:24 PM
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