Return From Unpaid Leave or Unpaid FMLA in Excess of 30 Consecutive Calendar Days

Health Insurance
  • Reinstate prior election.
  • You may change your health plan.
  • You may change your coverage level.
  • You may cancel coverage. If eligible, you may elect the health insurance opt-out.
Dental Insurance
  • Reinstate prior election.
  • You may cancel coverage. 
Health FSA
  • Reinstate prior contribution or make a new election.
Dependent Care FSA
  • Reinstate prior contribution or make a new election.
Supplemental Life Insurance
  • You may enroll, continue your coverage, or increase the amount of your coverage.  If you enroll or increase your coverage, satisfactory evidence of insurability is required.
  • You may cancel or decrease the amount of your coverage.

Updated 06/2019