You must notify the Health Service System when going out on a paid
or unpaid leave of absence.
|Type of Leave||Health Benefits Eligibility|
||Notify the Heath Service System (HSS) as soon as your leave begins–within 30 days. You may elect to continue or waive health coverage for the duration of your approved leave of absence.|
- Personal Leave Following
Family Care Leave
|If you have been on an approved Family Care Leave and are approved to extend this as a Personal Leave, you may elect to continue or waive health coverage for the duration of your approved Personal Leave. Contact the Health Service System.|
||Notify the Heath Service System as soon as your leave begins–within 30 days. You may elect to continue or waive health coverage for the duration of your approved leave of absence. If your leave lasts beyond 12 weeks, you must pay the total cost of health coverage for yourself and any enrolled dependents. This includes your employee premium contribution plus your employer's premium contribution. Contact HSS for details.|
Notify your supervisor and your department’s Human Resources Professional (HRP) prior to your leave. (If your leave is due to an unexpected emergency contact your HRP as soon as possible.) Your HRP will help you understand the process and documentation required for an approved leave. Your HRP will also provide the Health Service System with important information about your leave.
Contact the Health Service System as soon as your leave begins–within 30 days. You may choose to continue or waive health coverage while on leave. If you continue coverage, you must pay employee premium contributions while you are on leave. If premium payments are not deducted from your paycheck while you are on leave you must pay the Health Service System directly. Failure to do so will result in termination of your health benefits. Call HSS at 1-415-554-1750.
When leave ends, contact the Health Service System to reinstate your benefits within 30 days of return to work. If you continued your health coverage while on an unpaid leave, you must request that HSS resume health premium payroll deductions. If coverage was waived or terminated while you were on leave, you must request that the Health Service System reinstate your benefits and resume your payroll deductions.
While you are on an unpaid leave, premiums for health coverage cannot be deducted from your paycheck. To maintain coverage, you must pay premium contributions directly to HSS. Contact HSS within 30 days of when leave begins to either waive coverage or arrange for payment of premiums. Failure to do so can result in the termination of your health benefits, which may not be reinstated until you return to work or during Open Enrollment. When you return to work, contact HSS immediately (within 30 days) to request that health premium payroll deductions be returned to active status.
If you go on an approved leave due to illness or injury, any employer-paid group life coverage continues for up to 18 months. For other types of leave, group life coverage ends the last day of the month after the month in which your leave begins. Group life insurance resumes the first day of the coverage period after you officially return to work.
If you go on an approved leave due to illness or injury, any employer-paid long term disability coverage continues for up to 12 months. Health premiums are not deducted from LTD payments. Call HSS to arrange to pay your premiums. For other types of leave, LTD coverage ends the last day of the month after the month in which your leave begins. LTD coverage resumes the first day of the coverage period after you officially return to work.
If you have a domestic partner enrolled on your health coverage while you are on unpaid leave, you will have a catch-up payroll deduction for taxation related to imputed income when you return from leave.
During an unpaid leave, no FSA payroll deductions can be taken. To maintain your FSA coverage, you must pay your FSA contributions directly to HSS. Contact HSS within 30 days of when leave begins to arrange for payment of your FSA contributions. You may suspend your Healthcare FSA if you notify HSS at the beginning of your leave. Accounts that remain unpaid for three consecutive pay periods will be suspended retroactively to the first missed pay period. Your Healthcare FSA will be reinstated once you return to work. If you want to maintain your annual election amount for expenses incurred before and after your leave, you must notify HSS within 30 days of your return to work. Your payroll deductions will be increased and spread proportionally over the remaining pay peri- ods in the Plan Year. If you do not contact HSS, your annual election amount will be reduced by the amount of contributions missed (if any) during your leave of absence.
A Dependent Care FSA must be suspended while you are on leave. Claims incurred during leave are not reim-bursable. To reinstate, you must notify HSS within 30 days of your return to work. Reinstatement of a Dependent Care FSA is only allowed on a go-forward basis. You may reinstate at the original bi-weekly FSA deduction amount, or you can increase bi-weekly deductions for the plan year. If you increase deductions, total FSA contributions for the year must equal and cannot exceed, the amount designated during Open Enrollment.If you do not notify HSS within 30 days of your return to work and request reinstatement of your FSA payroll deduction, FSA(s) will be canceled for the remainder of the plan year. There are no exceptions. If you return to work after December 2016, a suspended Healthcare or Dependent Care FSA initiated during the 2016 plan year cannot be reinstated. There are no exceptions.
If you are employed by the Superior Court, SFUSD or SFCCD, contact the appropriate office regarding dental, FSA and disability benefits that are not administered by HSS:
Superior Court Human Resources 1-415-551-5965
SFUSD Human Resources 1-415-241-6101 x3243
City College Human Resources 1-415-241-2246