Premium Payments

Set a clear process for premiums while an employee is on unpaid leave.

When pay stops, payroll deductions stop with it. Decide how employees will pay their share, when it is due and what happens if payment is late.

Send Us Your Renewal

In Depth

Collecting premiums when an employee is on unpaid leave

An employee on unpaid leave has no paycheck to deduct premiums from, but the plan generally still requires the employee’s share to be paid. Employers need a clear method for collecting it, agreed in writing, before the leave begins.

Typical methods are for the employee to pay each month by check or electronic payment, to prepay for the expected leave period, or to catch up through payroll deductions after returning. Each has a trade-off. Monthly payment is simple but missed payments are common. Prepayment is reliable but costly for the employee. Catch-up deductions leave the employer carrying the cost for a time.

For leave protected by the Family and Medical Leave Act, the employer must generally keep health coverage in place on the same terms as before the leave, and the employee remains responsible for the employee share. Coverage may be ended if the payment is late by more than a set grace period, with written notice, and the employee may then have COBRA rights. The details depend on the facts, so a written policy is important.

We help employers draft a premium collection notice that explains the amount, due date, grace period and consequences, and we align it with the carrier’s rules on when coverage can be terminated. Counsel should review the final wording.

Premium Payments

What to decide and where it connects

Group Health During FMLA

What the employer must maintain.

Written Policy Language

Put the process in writing.

Read the Parent Guide

FMLA rules for Michigan employers.

Questions We Get

Questions about this topic

How do employees pay premiums on unpaid leave?

Common options are direct payment, prepayment or catch-up through payroll afterward.

Can coverage be cancelled for nonpayment?

Only under the rules that apply to FMLA leave, so confirm with your attorney.

Should this be in writing?

Yes. A written process avoids disputes.

Ready? Send us your renewal, or talk it through with someone first. General information, not legal or tax advice.

Sources

Where these details come from.

U.S. DOL Fact Sheet 28: FMLA basics.

Let’s Get to Work

Send us your renewal.

We’ll tell you whether it looks competitive, where we see opportunity, and the five questions we’d put to your carrier. No cost, and no obligation to move anything.

What to send

The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier

Four documents — two more if your group is 50 or more. Nothing else; every extra one is a reason to postpone.

CFH Insurance Consultants

An independent employee benefits consulting firm. We look at the entire benefits program: cost, plan performance, risk and administration.

Switch to CFH. Unhappy with your broker? Your employees won’t notice. You will. →

Michigan41000 Woodward Avenue, Suite 350 East
Bloomfield Hills, MI 48304
248.370.8853
Colorado13540 Northgate Estates, Suite 100
Colorado Springs, CO 80921
719.425.2649
Texas16365 Park Ten Place, Suite 182
Houston, TX 77084
281.404.5670


Book a 30-minute call