If you are on an approved leave, you may be eligible for benefits continuation. Call the SSC Contact Center at (734) 615-2000 locally or (866) 647-7657 toll free, Monday through Friday from 8 a.m. to 5 p.m.
All leave of absence premiums are due on the first of the month for that month's coverage (i.e., premium for the coverage period of June 1st through June 30th is due on June 1st.) Any late or partial payments will be processed and refunded.
Types of Leave
Military Service Leave
University of Michigan faculty and staff members in the Armed Forces Reserves or National Guard who are called to active duty are placed on Military Service Leave.
The university supports leaves of absence under the Family Medical Leave Act (FMLA). FMLA leaves are available to all faculty and staff members.
If you meet the criteria, you are entitled to receive university contributions toward medical and dental premiums for up to 12 weeks in a 12-month period. The 12 weeks will be offset by any sick leave used prior to the FMLA leave. The 12-month period renews on the same date as your short-term sick leave.
The criteria are:
- You must have worked at least 12 months (which do not have to be consecutive) for the university; and you must have worked at least 1,250 hours during the 12 months immediately before the date FMLA leave begins. If a faculty or staff member is maintained on the payroll for any part of a week, including any periods of paid or unpaid leave (sick, vacation) during which other benefits or compensation are provided by the university (e.g., workers' compensation, group health plan benefits, etc.), the week counts as a week of employment. The 1,250 hour requirement pertains to the immediate prior 12-month period. Whether a faculty or staff member has worked the minimum 1,250 hours of service is determined according to the principles established under the Fair Labor Standards Act (FLSA) for determining compensable hours of work.
- Your leave of absence must be approved, and provided for under the Family Medical Leave Act (FMLA). The FMLA legislation provides for three types of leave: Personal Medical, Child Care, and Family Medical.
- FMLA begins with the first day of a qualified event and runs concurrently with paid and unpaid time.
Seasonal Leave of Absence
If you are placed on a seasonal leave of absence, university contributions toward your benefits will continue during your leave provided:
- You had at least a 75% appointment prior to the leave (AFSCME members need only a 50% appointment);
- Your union contract provides for it; and
- You continue paying for the faculty or staff member contribution.
Sabbaticals or Scholarly Activity Leaves
During your Sabbatical or Scholarly Activity Leave, your benefits will continue the same as when you are a regular, active employee if you pay the employee contribution.
If you are on a Scholarly Activity Leave without a salary, you will be responsible for making arrangements to pay your portion of your benefits. Call the SSC Contact Center for more information.
If you are enrolled in a managed care plan and will be moving out of the service area during your Sabbatical or Scholarly Activity Leave, you may want to consider changing your health plan. Medical plan providers reserve the right to deny claims and terminate coverage if you move out of the service area for six months or more.
Benefits Coverage During a Leave of Absence
If you are placed on a leave of absence, you must notify the SSC Contact Center prior to or immediately after the date your leave begins. The timing is critical if you want to maintain your benefits coverage.
If you call the SSC Contact Center in time to pay the premiums on your benefits before the 20th of the month in which your coverage is scheduled to end, and you agree to pay the premiums, you can continue your health plan, prescription drug plan, and dental plan coverage, Expanded Long-Term Disability, group life insurance, legal plan, and Health Care Flexible Spending Account for the duration of your leave.
Leave of Absence/Reduction in Force Health Plan Rates
|Health Plan||Coverage Level||2018 Monthly Premium|
|Community Blue PPO||You Only||$682|
|Community Blue PPO||You and Adult||$1,364|
|Community Blue PPO||You and Adult and Children||$1,883|
|Community Blue PPO||You and Child||$1,201|
|Community Blue PPO||You and Children||$1,201|
|Comprehensive Major Medical||You Only||$538|
|Comprehensive Major Medical||You and Adult||$1,076|
|Comprehensive Major Medical||You and Adult and Children||$1,485|
|Comprehensive Major Medical||You and Child||$947|
|Comprehensive Major Medical||You and Children||$947|
|GradCare||You and Adult||$524|
|GradCare||You and Adult and Children||$723|
|GradCare||You and Child||$461|
|GradCare||You and Children||$461|
|U-M Premier Care||You Only||$586|
|U-M Premier Care||You and Adult||$1,172|
|U-M Premier Care||You and Adult and Children||$1,618|
|U-M Premier Care||You and Child||$1,032|
|U-M Premier Care||You and Children||$1,032|
Dental Plan Rates
|Dental Plan Option||Coverage Level||Your 2018 Monthly Rate|
|Option 1||You Only||$23.44|
|Option 1||You and Child||$46.88|
|Option 1||You and Adult||$46.88|
|Option 1||You and Adult and Children||$74.78|
|Option 1||You and Children||$74.78|
|Option 2||You Only||$39.32|
|Option 2||You and Child||$78.64|
|Option 2||You and Adult||$78.64|
|Option 2||You and Adult and Children||$122.30|
|Option 2||You and Children||$122.30|
|Option 3||You Only||$47.46|
|Option 3||You and Child||$94.92|
|Option 3||You and Adult||$94.92|
|Option 3||You and Adult and Children||$147.62|
|Option 3||You and Children||$147.62|
Vision Plan Rates
The monthly Vision Plan rates for 2018 are:
- $8.38 for you only
- $13.08 for you plus one adult or you plus one child
- $22.72 for you plus one adult and one or more children
Legal Service Plan Rates
The monthly Legal Services Plan rates for 2018 are: $8.34 per month for you only and $13.34 per month for you plus one or more dependents.
Moving From one Type of Leave of Absence to Another
When you move from one type of leave of absence to another, you may receive a second leave letter to continue benefits. If this change in leave of absence type goes to a type of leave eligible for university contributions toward benefits (typically FMLA) to a leave of absence not eligible for university contributions toward benefits (typically personal leave or childcare), the change will affect the amount you owe for benefits and amounts you need to pay in order to prevent coverage interruption.
- If you canceled benefits during your first leave, this waive will continue during your second leave unless you experience a qualified family status change.
- If you continued benefits during your first leave and your employee contribution payments for benefits are current, you will need to submit your new leave letter with payment to continue benefits during your second leave.
- If you continued benefits during your first leave and your employee contribution payments for benefits are not current, you will need to bring payments up to date in order to continue benefits on your second leave. All payments will be applied to the oldest charges first.
Returning From a Leave of Absence
When you return from a leave of absence or layoff to an appointment eligible for benefits, call the SSC Contact Center to have your benefits reinstated.
Any change in dependent status that occurred during the leave or layoff must be reported:
- Within 30 days of your return if you did not continue your benefits during your leave; or
- Within 30 days of the event if you did continue your benefits during your leave.
If you continue your benefits through the university during a leave, and you do not return to the university at the end of your leave, you will be offered COBRA for your health plan, dental plan, prescription drug plan, and Health Care Flexible Spending Account. Under COBRA, you may continue these benefits at your own expense for up to 18 months.
Call the SSC Contact Center at 5-2000 from the Ann Arbor campus, (734) 615-2000 locally, or (866) 647-7657 toll free, Monday through Friday from 8 a.m. to 5 p.m.