5.7.3 Continuation of Health InsuranceAlthough the archdiocese, as a religious
institution, is largely exempted from state and federal laws that
require employers to provide Family and Medical Leave, in accordance
with the Church's teachings on social justice, the archdiocese has
voluntarily elected to institute programs that mirror the statutory
provisions of state and federal laws. One element is continuation of
employee health insurance.126.96.36.199 Pregnancy Disability and Family and Medical LeaveA
pregnant employee is eligible for up to 18 weeks total of benefits
coverage while on Pregnancy Disability Leave and up to 12 additional
weeks total of benefits coverage during Family and Medical Leave to bond
with her child. An employee on Family and Medical Leave for
reasons other than pregnancy is eligible for group health insurance
coverage at the employee's regular premium cost for a period of up to
four months, provided the employee submits a physician's notification of
disability. The employee must pay the employee portion of the
required insurance premiums while on Pregnancy Disability and Family and
Medical Leave. If an employee is still disabled after completing
the maximum leave period, under the archdiocese continuation of
benefits process he or she may continue the insurance for 18 months (and
in certain cases up to 29 months) but is responsible for the cost of
the entire premium.See Health Care.188.8.131.52 Personal LeaveEmployees
may continue group insurance coverage while on an approved personal leave of absence of fewer than 120 days, but they are responsible for
the cost of the entire premium.184.108.40.206 TerminationExcept
in the case of termination for gross misconduct, under the continuation
of benefits process employees are currently eligible to continue group insurance coverage for up to 18 months after termination. During this
period, the terminated employee is responsible for the full cost of the
premiums plus a small administrative fee.Further information
about the continuation of group insurance coverage may be obtained from
the archdiocesan Insurance Department. 220.127.116.11 Qualifying Life EventA
qualifying life event ("QLE") is a change in an employee's status
(e.g., marriage, birth of a child, divorce, loss of eligibility because
of reduction in hours, or death) that affects an employee's health insurance coverage.The QLE procedure to follow:
The administrator has to complete the Enrollment/Change Form (HR intranet; username and password required) and Qualifying Life Event (QLE) Notification.
The QLE form is available at MyEnroll.com in the reference library.
The form must be signed by the employee.
administrator has to fax or email the QLE form to Benefits Allocations
Systems Inc.; the contact information is provided on the form.
The administrator has to keep a copy of the documentation in the employee's medical file.