Employee Payment of
Group Health Benefit Premiums
Any share of group health plan premiums that had been paid by the employee prior to FMLA leave must continue to be paid by the employee during the FMLA leave period. If premiums are raised or lowered, the employee would be required to pay the new premium rates.
Maintenance of health insurance policies that are not a part of the employer's group health plan are the sole responsibility of the employee. The employee and the insurer should make necessary arrangements for payment of premiums during periods of unpaid FMLA leave.
If paid leave is substituted for FMLA leave, the employee's share of premiums must be paid by the method normally used during any paid leave, presumably as a payroll deduction. Similarly, an employee who is receiving payments as a result of a workers' compensation injury must make arrangements with the employer for payment of group health plan benefits when simultaneously taking FMLA leave.
If FMLA leave is unpaid, the employer has a number of options for obtaining payment from the employee. The employer must provide the employee with advance written notice and the terms and conditions under which these payments must be made. The employer may require employees to pay their share of premium payments in any of the following ways:
An employer may not require more of an employee using unpaid FMLA leave than of other employees on leave without pay.
Continue to Employee Failure to Pay Health Plan Premium Payments or Return to Employee Rights and Responsibilities Menu.
For more information on this aspect of the FMLA, see the FMLA regulations: § 825.210
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