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How do I continue my health, dental, vision, and life insurances while on a Maternity Leave if I am not enrolled in Long Term Disability (LTD) and I am not covered under FMLA?

Your health, dental, vision, and dependent life insurance premiums will continue to be deducted from your paycheck while you use leave credits and remain on payroll. 

Once you are no longer receiving a paycheck, the Employee Benefits Division (EBD) will mail you a (CS-1820) Application to Continue Insurances that includes the plans (health, dental, vision, and life) that you are eligible to continue.  You must select the insurance plans you wish to continue and return the application to EBD. 


  • Your health, dental, vision, and life insurance coverage will stop at the end of the pay period of your last day paid.
  • If you elected to continue your health, dental, vision, or life insurance coverage on the CS-1820 form, EBD will mail an invoice and you will be responsible for making a direct payment for coverage to continue.

If you have questions on the Application to Continue Insurances form (CS-1820), contact EBD at 1-800-505-5011.