Back to Federal guidance

Contractor health coverage and cash benefits during FMLA leave

Summary WHD answered a contractor asking about medical premiums during unpaid FMLA leave. It said the employer must continue group health coverage, including insurance used to satisfy a contract wage determination’s health and welfare requirement, under the same conditions as continued employment. It said cash paid instead of health and welfare benefits need not continue during FMLA leave; passing added costs to the contracting agency is a matter for negotiation.
Document
Federal opinion letter
Agency
U.S. Department of Labor, Wage and Hour Division (WHD)
Document number
FMLA-1
Date issued
June 15, 1993
Status
Active
Status last verified October 12, 2026
Topics

Apply this to your situation

This page explains the general guidance. Ask about your specific situation and see what current federal labor law says, with citations.

About this page: The full text below is the official document from U.S. Department of Labor, Wage and Hour Division (WHD). Ezel adds the plain-English summary and tracks the document's status. The official source linked on this page is authoritative for any reliance.

U.S. Department of Labor
Employment Standards Administration
Wage and Hour Division
Washington, D.C. 20210

June 15, 1993
FMLA-1

Dear Name*,

This is in response to your letter to the Department of Labor regarding the Family and Medical Leave Act of 1993 (FMLA).

The FMLA, which becomes effective on August 5, 1993, is intended to provide a structured method for dealing with certain family and medical situations which may require the employee to be absent from work.

The issues contained in your letter regarding the continuation of medical insurance premiums being paid by a contractor is a requirement of the Family and Medical Leave Act. Section 825.209 of the regulations requires an employer to maintain coverage under any group health plan for the duration of such leave and under the conditions coverage would have been provided if the employee had continued in employment continuously for the duration of such leave. If the employer is providing health insurance to discharge the health and welfare benefits requirement of the wage determination, that benefit must continue during the entire period of the unpaid FMLA leave. An employer's obligation to continue medical insurance coverage during a period of FMLA leave would only cease when it becomes known that an employee is not returning to employment, and therefore, would no longer be entitled to leave under this Act.

If the contractor is paying cash in lieu of health and welfare benefits required by the wage determination on the contract, the employer has no obligation to continue cash payments during any period of FMLA leave.

As to whether the contractor can pass along any increased costs on the contract resulting from payments required by FMLA to the contracting agency, this is a matter for negotiation between the contractor and the agency.

We hope that we have been responsive to your inquiry. I am enclosing a copy of our recently published regulations that should address many of the concerns that you may have about the Act.

Sincerely,

J. Dean Speer Director, Division of Policy & Analysis

Enclosure

  • Note: The actual name(s) was removed to preserve privacy in accordance with 5 U.S.C. 552 (b)(7).

What does federal law require in your situation?

Ezel checks current federal labor law against your facts and answers with citations.

Opens in Ezel Pro.

  • Checks the law as it stands today, not only this page
  • Cites every source it relies on, so you can verify it
  • Chat, drafting and research in one workspace