FMLA Benefits Continuation & Health Insurance During FMLA Leave

Question 1

Under FMLA, for how long must an employer maintain group health insurance coverage for an employee on approved FMLA leave?

Accepted Answer

For the entire duration of the FMLA leave period

Answer

Employers must maintain group health coverage for the full duration of an employee's FMLA leave under the same terms and conditions as if the employee had continued working.

Question 2

Before an employer may terminate health insurance coverage due to an employee's failure to pay premiums during FMLA leave, what must the employer provide?

Accepted Answer

At least 15 days' advance written notice before terminating coverage

Answer

DOL regulations require employers to give at least 15 days' written notice before terminating health coverage for non-payment of premiums during FMLA leave.

Question 3

Which of the following best describes the 'same terms and conditions' standard for health benefit continuation during FMLA leave?

Accepted Answer

Coverage is maintained at the same co-pays, deductibles, and premium contributions as active employees

Answer

FMLA requires that health benefits be maintained on the same terms as if the employee had not taken leave, meaning no changes to co-pays, deductibles, or premium splits.

Question 4

An employee is on paid FMLA leave. How must their share of health insurance premiums be collected?

Accepted Answer

Through the normal payroll deduction process from the paid leave wages

Answer

When an employee is receiving paid leave benefits, the employer may continue deducting the employee's premium share through the normal payroll process.

Question 5

If an employer offers dental and vision benefits in addition to medical insurance, what is the FMLA obligation regarding these supplemental benefits during leave?

Accepted Answer

All group health benefits, including dental and vision, must be maintained under the same terms as for active employees

Answer

FMLA's benefit continuation requirement applies to all group health plan benefits, including dental and vision, not just medical insurance.

(FMLA) Certified Family and Medical Leave Act Administrator Practice Test

(FMLA) Certified Family and Medical Leave Act Administrator Practice Test

FMLA Benefits Continuation & Health Insurance During FMLA Leave