Leave of Absense

Leave of Absence & Your Benefits

Going on a leave of absence can bring many questions about your health benefits, deductions, accruals, and payment responsibilities. This page provides important information to help you understand what happens to your benefits while you are away from work and what steps you may need to take to keep your coverage active.

Important: Your benefit responsibility depends on the type of leave you are approved for. Employees should work with their department regarding their leave status and accrual usage and contact the Benefits Division with questions regarding benefit premiums and payments.

Understanding Your Leave & Benefits

Before You Go on Leave

Before beginning your leave, we recommend that you:

  1. Confirm your leave type with your department.
    Your benefit responsibility will depend on whether your leave is protected or a Personal Medical Leave of Absence.
  2. Determine whether you will use accruals.
    Work with your department to determine the minimum hours necessary to maintain benefits.
  3. Verify your benefit deductions.
    Make sure the hours being used are sufficient to cover your current benefit elections.
  4. Know whether an over-the-counter payment will be required.
    If payroll deductions cannot cover your benefits, contact the Benefits Division regarding your payment responsibility.
  5. Know your payment deadlines.
    Payments are accepted after 2:00 p.m. Monday of payday week and must be received no later than 5:00 p.m. Wednesday before payday.
  6. Continue monitoring your benefits while on leave.
    It is the employee’s responsibility to ensure the appropriate hours and/or payments are being made to maintain coverage.

 

Approved Protected Leave

Examples of approved protected leave may include:

  • Temporary Disability (TD)
  • Family and Medical Leave Act (FMLA)
  • California Family Rights Act (CFRA)

While you are on an approved protected leave, the County continues to pay the County’s portion of your benefit premiums.

You are responsible for paying your employee portion of your benefit elections.

If you have sufficient accruals and the appropriate number of hours are applied to your timesheet, your employee benefit deductions may continue through payroll. If there are not enough hours to cover your benefit deductions, you may be required to make an over-the-counter payment to the Benefits Division.

Personal Medical Leave of Absence

If you are on a Personal Medical Leave of Absence, you are responsible for:

The County’s portion of your benefit premiums + your employee portion of your benefit premiums.

Because this amount can be substantially higher than the amount normally deducted from your paycheck, employees should contact the Benefits Division if they need assistance determining the amount that will be due.

Using Accruals to Maintain Your Benefits

Employees may have the option to use available accruals to maintain their benefits while on leave.

Your department will work with the appropriate County office to determine the minimum number of hours that must be used each pay period to maintain your benefits.

Important: Verify Your Hours

It is the employee’s responsibility to verify that the correct number of hours is being used each pay period to maintain benefits.

Even being short by 15 minutes may result in your benefits terminating and require an over-the-counter payment to reinstate coverage.

If you do not have enough hours to maintain benefits, you may be responsible for paying both the County portion and your employee portion of your benefit premiums to have your coverage reinstated.

Protected Leave of Absence

When on an prroved medical leave such as FMLA, CFRA you may be able to use a minum number of hours instead of your full 41/32 hours. You will need to reach out to your department who will work with Payroll to determine the number of hours that are required to cover all your deductions

Personal Medical Leave of Absence

Employees on a Personal Medical Leave of Absence are required to use the full minimum number of hours applicable to their bargaining unit/MOU, which may be 41 or 32 hours.

Please review your applicable MOU and work directly with your department to verify the number of hours you are required to maintain.

MOU: https://www.sjgov.org/department/hr/divisions/labor-relations

Benefit Changes While on Leave

If you experience a Qualifying Life Event (QLE) while you are on leave and make changes to your benefit elections, your benefit deductions may change.

Examples may include adding or removing a dependent or changing benefit elections following an eligible qualifying event.

After making any benefit changes, contact your department to verify that the number of accrual hours being used is still sufficient to cover your updated benefit deductions.

The number of hours that previously covered your benefits may no longer be sufficient after your elections change.

 

Making Benefit Payments While on Leave

If your benefits are not deducted through payroll using hours/accruals, you may be required to make an over-the-counter payment directly to the Benefits Division.

Benefit payments are due biweekly.

When to Make Benefit Payment

Payments are accepted beginning:

After 2:30 p.m. on Monday of payday week

Payments must be received no later than:

5:00 p.m. on the Wednesday before payday

All required payments must be received by the deadline to prevent termination of benefits.

Click Here for 2026 Calendar

Ways to Make Benefits Payment

Pay by Phone

Contact the Benefits Division to make a payment by credit card over the phone.

Please note: Credit card payments are subject to a 2.29% processing fee.

Pay in Person

You may bring a:

  • Check
  • Money order

to the Human Resources office.

Pay by Mail

Checks and money orders may also be mailed to Human Resources.

Mailed payments must be received by the payment deadline.

Employees should allow sufficient mailing time. A payment being postmarked by the deadline does not ensure that it will be received in time to prevent a termination of benefits.


 

Why Paying on Time Matters

Benefit eligibility information is sent to the benefit providers on Thursday before payday.

If your required over-the-counter payment has not been received by the deadline, the provider may terminate your coverage in its system.

Once the required payment is received, your benefits can be reinstated without a lapse in coverage. However, there may be a delay before the provider’s system reflects your reinstatement.

During that processing period, you could experience temporary issues such as:

  • A medical provider showing your coverage as inactive
  • A medical appointment being delayed or cancelled
  • A pharmacy being unable to process a prescription
  • A provider requesting payment because coverage has not yet updated in its system

To help prevent these issues, please make all required benefit payments by the established deadline.