FMLA and your health care benefits: an example

ACC provides maintenance of your health care benefits if you are placed on FMLA leave. Below is an example of how FMLA can impact your state contribution.

Definitions:

State Contribution - the portion of your health care coverage the state pays as a benefit to you
Premium - the portion of your health cost you are required to pay after the state's contribution (usually deducted from your paycheck)

Your scenario:

You have missed work and have been in an unpaid leave status for an entire calendar month. As a result, your premium and your state contribution have not been paid. Under System policies, your health coverage is not current unless the state contribution and the premium are paid for that month. Your benefits summary is as follows:

The state contribution towards your health coverage is $400 per month
Your premium for your health coverage is $55 per month

FMLA will impact your health insurance payments in the following manner if you are:

Covered by FMLA: You would pay only the premium ($55). The state will pay its contribution of $400.
Not covered by FMLA: You would pay the premium plus the state contribution ($455).

→ Benefits of the Family and Medical Leave Act