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Leave of Absence Premiums

View this table to find premiums for various types and lengths of leaves of absence.

These are general guidelines for premiums for various types and lengths of leaves of absence. For specifics, contact Leslie Gee, (858) 534-2270.

Need process information? Go to How to Process a Leave of Absence.

Code Type of Leave Medical Insurance Dental Vision Legal Suppl Life Dep Life AD&D Suppl Dis
    UC contribution Employee cost UC contribution UC contribution Employee cost Employee cost Employee cost Employee cost Employee cost
04 Pregnancy Disability UC may pay up to 12 weeks* Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays  
05 Extended Illness UC pays up to 26 weeks Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays  
07 Professional Development Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays  
08 Personal Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays  
09 Workers' Compensation Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays  
10 Furlough UC pays up to 12 weeks Employee pays UC pays up to 12 weeks UC pays up to 12 weeks Employee pays Employee pays Employee pays Employee pays Employee pays (optional)
11 Military UC pays up to 26 weeks Employee pays UC pays up to 26 weeks UC pays up to 26 weeks Employee pays Employee pays Employee pays Employee pays  
12 Special Research Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays Employee pays  
15 FMLA/LWOP UC pays up to 12 weeks Employee pays UC pays up to 12 weeks UC pays up to 12 weeks Employee pays Employee pays Employee pays Employee pays  
16 FMLA/LWP UC pays up to 12 weeks Employee pays UC pays up to 12 weeks UC pays up to 12 weeks Employee pays Employee pays Employee pays Employee pays  

* As supported by medical documentation.

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