
Leave Without Pay Guidelines
Prior to going on leave without pay, the campus benefits representative
should discuss intended plan participation with the employee.
The employee must be notified in writing of the ability to
participate within fourteen (14) days of losing eligibility.
The employee has the option to either continue participation
with after-tax contributions or cease participation during
leave status. There must be funds remaining in the account
in order to continue participation in the Plan during leave
without pay.
1. If an employee chooses to continue participation while
on leave without pay, the employee must submit a completed
Request for Direct Pay Enrollment form to the benefits representative
within sixty (60) days from the later of date of notification
of the qualifying event, or the loss of coverage. The benefits
representative is responsible for forwarding the form to
the CA as notification of the employee's intent to continue
participation. A copy of the form is filed at the campus.
- As a result of the leave, if the employee chooses to
adjust the contribution under a “Change of Status
Event,” the employee may increase the deduction up
to a maximum of $416.66 per month (minimum $20 per month).
- Upon receipt of the form, the CA mails a payment coupon
book to the employee. While on leave, contributions are
made directly to the CA by the employee with after-tax
money.
- The employee must submit the contribution on or before
the time specified by the CA, along with the corresponding
coupon. The first payment must be made to the CA within
forty-five (45) days from the date of election. The first
payment must include sufficient funds so that the account
will be current. Payments must be paid to the order of
the CSU Board of Trustees, and are made on a monthly basis
unless the employee chooses to pay in advance.
- Making payments directly to the CA allows the employee
to submit claims for expenses incurred during this time
period.
- If the employee fails to pay the CA during the leave
period, the employee ceases to be a participant in the
Plan. The employee is no longer eligible to submit claims
for expenses incurred during the time the contributions
were not made to the CA.
- Upon return from leave, the employee's deductions automatically
resume regardless of whether the employee actively made
contributions to the CA while on leave without pay.
- The benefits representative is not required to make any
adjustment to the resumed deduction.
- Upon return, if an employee chooses to adjust the resumed
deduction under a “Change in Status Event,” the
employee may adjust the deduction up to a maximum of $416.66
per month (minimum $20 per month).
2. If an employee chooses not to continue coverage after
being notified of the qualifying event, no further action
is required by the campus benefits representative.
- An employee on leave without pay who chooses not to continue
contribution payments while on leave, may not submit claims
for expenses incurred while on leave. It is the responsibility
of the CA to monitor expense claims made by the employee.
- Deductions via regular payroll will automatically resume
when employee returns to payroll status.
LWOP Request Form
Faculty (coming soon)
Staff (coming soon)
|