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Leave Without Pay Insurance Continuation Form Instructions

Leave Without Pay Insurance Continuation Form Instructions 2025

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The document provides instructions for University of California Santa Cruz (UCSC) employees on how to continue or cancel their insurance coverage while on leave without pay (LWOP). Employees must complete the Insurance Continuation Form and indicate their choices for each insurance plan, along with payment for any premiums owed. It outlines specific conditions under which university contributions may continue, such as during Short Term Disability or Family Medical Leave. The document emphasizes the importance of timely submission to avoid cancellation of coverage and details the process for re-enrollment upon return to work.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does Lwop affect health insurance?

The health benefits coverage continues for the length of the appointment, even if the LWOP status lasts longer than 365 days. He/she must pay to his/her employing office the full cost of the health plan premiums. There is no Government contribution.

How long can I be on lwop?

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 unpaid leave (LWOP) during any 12-month period for certain family and medical needs. (See 5 CFR part 630, subpart L.)

What is extended Lwop?

The term does not cover a suspension, furlough, an absence for which leave has not been approved, or nonpay status during hours or days for which an employee would be compensated on an overtime basis. Extended LWOP is a period of LWOP exceeding 30 calendar days.

What does extended leave of absence mean?

An extended leave of absence is one that lasts longer than what would ordinarily be covered by your organizations time-off policy. There isnt a precise definition of what counts as extended leave, but it typically refers to a leave of absence that lasts for more than a few weeks, and could last as long as a year.

What happens to insurance during unpaid leave?

An employee who takes FMLA leave is entitled to maintain health benefits coverage. An employee on unpaid FMLA leave may pay the employee share of the premiums on a current basis or pay upon return to work.

What is insurance continuation after leaving job?

COBRA: The Consolidated Omnibus Budget Reconciliation Act (COBRA) allows you to continue your employers health insurance for a limited time (usually 18 months) after leaving your job. You will need to pay the full premium, including the portion your employer previously covered, plus a small administrative fee.

Leave Without Pay Insurance Continuation Form Instructions 2025

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