As a reminder, subscribers who are on medical disability leave (such as Temporary Disability or Workers’ Compensation) may continue their group health coverage for three months following the month in which they became hospitalized or disabled from working, or the period for which the employer continues to pay the subscriber’s regular wages, whichever is longer.
Regular health insurance premiums must continue to be paid. It is your responsibility to notify HMAA if an employee does not return to work within this period.
If any subscribers are on disability leave for longer than this period, their health coverage must be terminated. They may apply for COBRA if applicable or reapply for coverage when they return to work. They may requalify for regular coverage after working at least 20 hours per week for four consecutive weeks and earning at least 86.67 times the current minimum hourly wage per month. If you have any questions, please contact Account Management.