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Unfortunately the employer can cancel your health insurance. Health insurance is not  specifically covered by the Workers' Comp Act so it is controlled by either  state (for small companies) or Federal (larger companies) law. Often  the law is identical: if you drop below 30 hours per week your employer may change your coverage to COBRA. Believe it or not this is usually done at the insistence of the  health insurance company and not the employer. Your employer must permit you  to continue the insurance at your expense. There are two current exceptions, though.  First, if you use your Family Medical Leave Act for time off. then the employer may  not collect the insurance premiums during that 12-week period. They are able to collect  them upon your return to work, though, so be aware. Second, under the President's stimulus plan  employers are required to pay a large portion of the insurance premiums for  several months. We've seen mixed results for this being applied to injured  workers because technically you need to be able to work to fall under the  provision. And if you were fully able to work you probably wouldn't have this question.

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Information for injured workers in North Carolina

 


Q: Can an employer cancel an injured employee's health insurance while he or she is receiving workers' comp benefits?

A: Unfortunately the employer can cancel your health insurance. Health insurance is not specifically covered by the Workers' Comp Act so it is controlled by either state (for small companies) or Federal (larger companies) law. Often the law is identical: if you drop below 30 hours per week your employer may change your coverage to COBRA. Believe it or not this is usually done at the insistence of the health insurance company and not the employer. Your employer must permit you to continue the insurance at your expense. There are two current exceptions, though. First, if you use your Family Medical Leave Act for time off. then the employer may not collect the insurance premiums during that 12-week period. They are able to collect them upon your return to work, though, so be aware. Second, under the President's stimulus plan employers are required to pay a large portion of the insurance premiums for several months. We've seen mixed results for this being applied to injured workers because technically you need to be "able to work" to fall under the provision. And if you were fully "able to work" you probably wouldn't have this question.


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OTP - Greensboro
1155 Revolution Mill Drive,
Studio 4
Greensboro, NC 27405
Phone: 336-274-4494
Fax: 336-271-6769
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Winston-Salem, NC 27103
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Fax: 336-631-5225
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Burlington, NC 27215
Phone: 336-226-5925
Fax: 336-226-4492
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Asheboro, NC 27203
Phone: 336-633-4496
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3700 Glenwood Avenue, Suite 350
Raleigh, NC 27612
Phone: 919-573-5241
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Fayetteville, NC 28314
Phone: 910-764-3363
Fax: 910-764-3364
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550 S. Caldwell Street, Suite 1800,
Charlotte, NC 28202
Phone: 704-547-1617
Fax: 704-574-1819
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101 Government Avenue SW
Hickory, NC 28601
Phone: 828-322-1271
Fax: 828-322-1643
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1213 Culbreth Drive,
Wilmington, NC 28405
Phone: 910-509-7274
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