Northern California Babies

? about HC benefits while on maternity leave...

A friend was just telling me that while she was on maternity leave... since her company wasn't paying her... the state was... she has to cover her FULL monthly healthcare costs (like $500/month or something outrageous). 

She claimed that this is standard practice. 

I only pay $100/month out of my pay check now... so I have no idea how much my company is covering for me.  I'd HATE to have $500/month get sucked out of my disability leave.

Did this happen to anyone else?

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Re: ? about HC benefits while on maternity leave...

  • I think it depends on the company, but it is within their rights to make you pay for your coverage while you're not working.
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  • It is my understanding that, since you are technically still employed, your company still takes care of your healthcare.
  • It has happened to coworkers I know.  That's one of the reasons why I signed up with DH's insurance.
  • imageNotJustAnAuntie:
    I think it depends on the company, but it is within their rights to make you pay for your coverage while you're not working.

    Sounds like an important question I need to ask.  

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  • It also depends on how your company does your leave. If you are on STD you are fine (4 weeks before, 6 weeks after) but when you're on PFL that's where they can get you.  During those 6 weeks of PFL the company can basically take you off their books so to speak.  So they don't have to contribute to your 401k, can take that time away ie. prorate your raise/bonus, not accrue vacation, and not cover insurance.  In my  case I didn't get 401k and my bonus was prorated the next year for the 1.5 months I was off.  But it does depend on company to company.
  • FMLA protects your benefits - while under FMLA, you are required to pay your co-pay (I sent a check to my employer every pay period), but not your full premium.

    My FMLA ran out before my pregnancy, so I was then covered by the California Family Rights Act, which works the same as FMLA and is also 12 weeks. After that ran out, my employer didn't ask me to pay the full premium, although they could have. I just continued to pay the co-pay.

    Both of those protections are only offered at companies with 50 or more employees, so if your friend wasn't covered by FMLA, her company legally can ask her to pay the total premium during her leave. It's a crappy thing to do, IMO, but some companies do it. Not all, though.

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  • Wow.  Great question!  I just shot my HR person an email!!  I nver even thought to ask about that.
  • Please do your research if you're eligible for FMLA and CFRA - not all HR's are familiar with the benefits of it and some have been known to think they can charge you the full benefit...you really have to be your own advocate. FMLA is federal law and companies are not supposed to pick and choose which benefits to enforce. Most are really ignorant of the laws.

    FMLA does not protect vacation accrual or 401K contributions or anything like that. That is up to the company. That includes when you are out on SDI. I didn't accrue any vacation time or anything from the moment I was taken out of work, which is totally legal.

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  • imageMrs.K&C:

    Both of those protections are only offered at companies with 50 or more employees, so if your friend wasn't covered by FMLA, her company legally can ask her to pay the total premium during her leave. It's a crappy thing to do, IMO, but some companies do it. Not all, though.

     That makes sense.  The coworker that had to pay her premium was when we were at a company with only 40 people.

     

  • imageMeg_Meg:
    Wow.  Great question!  I just shot my HR person an email!!  I nver even thought to ask about that.
      It was your post that made me think if it.  I was like... hummm... going out at week 36... with 55% pay... sounds like a good deal... but I was strategizing (sp?) any "hidden" costs you might encounter! 
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  • imageMy.ABC.Life:
    imageMeg_Meg:
    Wow.  Great question!  I just shot my HR person an email!!  I nver even thought to ask about that.
      It was your post that made me think if it.  I was like... hummm... going out at week 36... with 55% pay... sounds like a good deal... but I was strategizing (sp?) any "hidden" costs you might encounter! 

    Ok, so you'd go out at 36 weeks then?  Assuming you coverage was uneffected?  ;)

  • My company continued to pay my premiums for my health coverage while on leave. Per our HR recap, I was still considered an employee even out on leave. 

    I did have to send them a check every month for the premiums of my dependants though.  Usually that would come directly out of my paycheck, but since I wasn't receiving a check I had to mail in the premiums.

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  • imageMeg_Meg:

    Ok, so you'd go out at 36 weeks then?  Assuming you coverage was uneffected?  ;)

    Honestly... if I could live off 55% pay for ANOTHER month... yes... but we can't. 

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  • For my employer, FMLA covered my health care benefits.  FMLA does not pay you.

    I was paid by SDI and then PFL while I was out, and FMLA covered my benefits.  I did have to pay my contribution while out.

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