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Home > Benefits > Health, Dental, Vision Insurance > What Happens to My Benefits During a Leave of Absence?
What Happens to My Benefits During a Leave of Absence?
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Quick Answer

Your benefits during a leave of absence depend on the type of leave, your eligibility status, and applicable plan rules. In some cases, benefits may continue during a leave as long as required premium payments are made on time.

 

How Benefits Typically Work During a Leave

While details vary by leave type, the following generally applies:

  • Benefits may continue during certain approved leaves.

  • You are responsible for paying your portion of benefit premiums.

  • If payroll deductions are not available, alternate payment arrangements may be required.

  • Failure to make required premium payments may result in termination of benefits coverage.

  • If coverage continues, missed premiums may be repaid through payroll deductions when you return to work.

  • If coverage is terminated due to nonpayment, reinstatement may not be possible until the next Open Enrollment or a qualifying life event.

 

Example: How Benefit Premium Payments May Work During a Leave

Scenario:

  • A team member begins an approved leave on March 15.

  • Benefits normally cost $150 per pay period, deducted from payroll.

What happens next:

  • Before the leave begins: HR confirms whether benefits will continue and explains payment options and deadlines.
  • During the leave (no paycheck):
    • Payroll deductions are not available.
    • The team member must submit direct premium payments to keep coverage active.
  • Payment deadline:
    • Premiums for April coverage are due by the communicated deadline.
    • If payment is not received on time, benefits coverage may be terminated.

  • Upon return to work:
    • If coverage continued, any missed premiums may be repaid through payroll deductions.

    • If coverage was terminated, reinstatement may be limited by IRS rules and plan terms.

 

What You Should Do Before and During a Leave

Before your leave begins:

  • Contact HR to understand how your benefits will be handled.

  • Confirm whether coverage will continue and how premiums must be paid.

  • Review payment timelines carefully.

During your leave:

  • Track payment due dates closely.

  • Notify HR immediately if your leave status or length changes.

  • Keep records of any payments made.

 

When to Contact HR Immediately

  • You are unsure how or when to make a required payment.

  • You miss or may miss a payment deadline.

  • Your leave status changes unexpectedly.

  • You receive notice that your coverage may end.

 

Helpful Tip

Planning ahead and staying in communication with HR is the best way to avoid benefit interruptions during a leave of absence.

Disclaimer:
This article provides general information and guidance and may not address every situation or state-specific requirement. It does not create a contract, guarantee, or promise of any specific outcome. Company policies, practices, and legal requirements may vary by state and may change over time. This article does not replace or supersede applicable laws or official Company policies, handbooks, manuals, or training materials.

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