Leave Without Pay Health Insurance Form

Voluntary leave without pay with benefits.

Leave without pay health insurance form. Compensation is the best resource for answering questions on the documentation you will need to submit and contributions you will need to pay while taking your leave. See pay and leave and 5 cfr part 630 for information about family and medical leave. Eligible employees must request voluntary leave without pay with benefits from their immediate supervisors and such requests must be sent to human resource management hrm for review and final approval. Other restrictions and conditions may apply.

If you choose to continue your coverage you must pay the full employee s premium for every pay period that your enrollment continues. Each pay period you are enrolled in the fehb program you are responsible for payment of the employee share of the premium. In most instances granting lwop is a matter of supervisory discretion and may be limited by agency internal policy. Absence for a month or longer.

The family and medical leave act of 1993 fmla public law 103 3 february 5 1993 provides covered employees with an entitlement to a total of up to 12 weeks of. The university of kansas offers a voluntary leave without pay with benefits program which allows an employee in a regular position to request leave without pay and retain health insurance coverage during the absence. To ensure continued coverage your request to continue cancel university benefits form must be received by the leaves office by the 10th of the month following the beginning of your leave without pay. It also requires that their group health benefits be maintained during the leave.

Employees however have an entitlement to lwop in the following situations. Employees are not eligible to join the plan while on leave without pay. When you enter leave without pay status or your pay is insufficient to cover the premium you must terminate the enrollment. Leave without pay lwop and federal employee health benefits fehb during a period of lwop your enrollment may continue for up to 365 days of leave without pay unless you want it to terminate or do not respond to the written notice sent to you from your employing office about continuing coverage during a period in lwop status.

For example if your leave begins on june 15th you will need to submit your payment by july 10th to cover your august benefits. I m going on leave without pay so i can travel the world. Fair labor standards act while certain types of leave are required by law other types are voluntary incentives provided by employers. Under the family and medical leave act fmla of 1993 public law 103 3 an employee is entitled to up to 12 weeks of unpaid leave for certain medical and family needs.

Or continue the enrollment and. Family and medical leave.