A federal government website managed by the U.S. Department of Health & Human Services
200 Independence Avenue, S.W. - Washington, D.C. 20201
Workplace Benefits - FAQs:
Employers offer health benefits on a voluntary basis. Federal law does not require employers to offer health coverage to their employees nor does it prevent employers from cutting or reducing benefits in many instances. Employees and their families may have a right to continuation coverage under COBRA if the plan still exists and may have a contractual right to coverage if, for example, benefits are required under a collective bargaining agreement. In addition, a plan cannot deny eligibility or continued eligibility based on health status.
Under the Family and Medical Leave Act (FMLA), eligible employees are entitled to the continuation of group health insurance coverage during any period of FMLA leave under the same conditions as coverage would have been provided if the employee had been continuously employed during the leave period. Employees may contact the Department of Labor’s Wage and Hour Division (1-866-487-7243) for information on the FMLA.
Employees may contact one of EBSA’s benefits advisors at 1-866-444-EBSA (3272) or online at: http://www.dol.gov/ebsa/contactEBSA/consumerassistance.html
Note: As an overall matter, employers should be guided in their relationship with their employees by federal, state, and local employment law, and by the company-specific application of these laws as reflected in employee handbooks, manuals, and contracts (including bargaining agreements).
Not all of the employment laws referenced apply to all employers or all employees, particularly state and local government agencies. For information on whether a particular employer or employee is covered by a law, please use the links provided for more detailed information. This information is not intended for federal agencies or federal employees -- they should contact the U.S. Office of Personnel Management (OPM) for guidance.
Employees should first contact their employer to determine the employer’s intent to pay the premium. Employees may also wish to contact the insurance company to determine how long the payment has been in arrears, if the insurance company has provided a grace period for late payment, and how long the employer has been given to make the payment. Employees can also contact their state insurance commissioner regarding any rights they may have under state law to pay premiums directly to the insurance company or convert the group health coverage to an individual policy.
If premiums are in arrears or coverage has been cancelled as a result of the employer’s failure to make the premium payment, employees may contact one of the Employee Benefit Security Administration’s (EBSA) benefits advisors at 1-866-444-EBSA (3272) or contact EBSA by email at askebsa@dol.gov.
Note: As an overall matter, employers should be guided in their relationship with their employees by federal, state, and local employment law, and by the company-specific application of these laws as reflected in employee handbooks, manuals, and contracts (including bargaining agreements).
Not all of the employment laws referenced apply to all employers or all employees, particularly state and local government agencies. For information on whether a particular employer or employee is covered by a law, please use the links provided for more detailed information. This information is not intended for federal agencies or federal employees -- they should contact the U.S. Office of Personnel Management (OPM) for guidance.
Many plans provide for loans to plan participants. However, federal law does not require plans to make loans. The Summary Plan Description (SPD) or other plan documents should explain the terms of any plan loan program. Employees will only be able to obtain a loan if the plan has a loan program.
The plan may also permit withdrawals in the event of hardship, disability or termination of employment. Federal law, however, does not require that plans provide for such withdrawals. The SPD or other plan documents should provide information concerning any rights with respect to such withdrawals. Withdrawing money from the plan may have tax or other adverse consequences.
If an employee wishes to get money out of their pension plan in the form of a loan or a hardship withdrawal, he or she should contact the plan administrator, plan sponsor, or plan official. Employees may also contact one of the Employee Benefit Security Administration’s (EBSA) benefits advisors at 1-866-444-EBSA (3272), or or online at: http://www.dol.gov/ebsa/contactEBSA/consumerassistance.html.
Note: As an overall matter, employers should be guided in their relationship with their employees by federal, state, and local employment law, and by the company-specific application of these laws as reflected in employee handbooks, manuals, and contracts (including bargaining agreements).
Not all of the employment laws referenced apply to all employers or all employees, particularly state and local government agencies. For information on whether a particular employer or employee is covered by a law, please use the links provided for more detailed information. This information is not intended for federal agencies or federal employees -- they should contact the U.S. Office of Personnel Management (OPM) for guidance.
Flu.gov has a comprehensive list of questions and answers prepared by the US Department of Labor at http://answers.flu.gov/categories/284.
The workplace topics cover:



