FMLA Leave

An employee who is on an approved leave of absence due to the Family Medical Leave Act (FMLA) may continue health and life coverage at their current employee contribution percentage for 12 weeks only.  If FMLA is greater than 12 weeks, the employee is required to pay 100% of the monthly premium.  If the employee is on an approved medical leave, he or she may file a reduction of monthly premium application.  See the Leave Without Pay section.

To process an FMLA leave:

  1. Complete Insurance Enrollment and Change Form (Form-1) on behalf of the employee.
  2. Photocopy the Insurance Enrollment and Change Form (Form-1) and file it in the employee's personnel file.
  3. Send the original Insurance Enrollment and Change Form (Form-1) to the GIC.
  4. Enter the appropriate action/reason on the employee's job record on the HR/CMS or UMASS payroll system putting the employee on leave.
  5. The GIC will bill the employee for his/her share of the monthly premium.

FMLA Military Exigency Leave

An employee who is on an approved leave of absence due to the Family Medical Leave Act (FMLA) Military Exigency Leave (e.g., employee's spouse, son, daughter or parent has been notified of call to active duty status with the military) may continue health and life coverage at their current employee contribution percentage for 12 weeks.

To process an FMLA MILITARY EXIGENCY leave:

  1. Complete Insurance Enrollment and Change Form (Form-1) on behalf of the employee.
  2. Photocopy the Insurance Enrollment and Change Form (Form-1) and file it in the employee's personnel file.
  3. Send the original Insurance Enrollment and Change Form (Form-1) to the GIC.
  4. Enter the appropriate action/reason on the employee's job record on the HR/CMS or UMASS payroll system putting the employee on leave.
  5. The GIC will bill the employee for his/her share of the monthly premium.

Military Caregiver Leave

An employee who is on an approved leave of absence as a military caregiver may continue health and life coverage at their current employee contribution percentage for 26 weeks.

To process a MILITARY CAREGIVER leave:

  1. Complete Insurance Enrollment and Change Form (Form-1) on behalf of the employee.
  2. Photocopy the Insurance Enrollment and Change Form (Form-1) and file it in the employee's personnel file.
  3. Send the original Insurance Enrollment and Change Form (Form-1) to the GIC.
  4. Enter the appropriate action/reason on the employee's job record on the HR/CMS or UMASS payroll system putting the employee on leave.
  5. The GIC will bill the employee for his/her share of the monthly premium.

This information provided by the Group Insurance Commission.