An employee’s pay and insurance are not typically impacted by ADA
accommodation unless that accommodation results in a reduced work schedule.

To apply for a medical workplace accommodation or work restriction,
please submit a request.

The 2025 Leave of Absence Monthly Rates as as follows:

Medical Coverage

Aetna PPO

Employee: $877.23 

Employee + Children: $1708.78

Employee + Spouse: $1923.25

Family: $2750.48 

Aetna HMO

Employee: $714.96 

Employee + Children: $1393.05

Employee + Spouse: $1567.50

Family: $2241.61

CareFirst BlueChoice HMO

Employee: $748.58

Employee + Children: $1497.48

Employee + Spouse: $1647.32

Family: $2418.13

Dental Coverage

Cigna PPO

Employee: $41.78 

To initiate a disability claim, contact The Hartford, 1-888-277-4767 or www.thehartford.com/mybenefits. P o l i c y # : 681088.

For further benefit questions while on leave, please contact the Benefits office at benefits@hcpss.org., 410-313-7333, Option 2.

Beyond the FMLA period, the policy will terminate. Y ou may however, elect to convert the policy to a new individual policy by applying within 31 days of the Long-Term Disability termination date. This request must be submitted to the benefits office.

Yes. Long-Term Disability coverage will remain while on paid or unpaid FMLA leave. If you reach an unpaid status while out on FMLA leave, you will owe catch-up premium cost for missed deductions.

Beyond FMLA leave the policy will terminate.

Yes. Short-Term Disability coverage remains active while on paid or unpaid FMLA leave. If you reach an unpaid status while out on FMLA leave, you will owe catch-up premium cost for missed deductions.

If you wish to continue the coverage beyond FMLA the employee will be required to request a conversion from the benefits office within 30 days from the end of the FMLA. Premiums are billed directly by the MetLIfe carrier.