What do I do when premiums that should have been paid by the state were... »

 7) What do I do when premiums that should have been paid by the state were billed to and paid by the employee?

This generally happens when an employee was supposed to be on FMLA leave status, but they were coded with an “L” (Leave Without Pay - LWOP) deduct code.  When on FMLA leave status the employee is entitled to state paid health benefits.  When they are on LWOP leave status, they do not get state-paid benefits.  If the employee was billed for amounts that should have been state-paid, both the invoice and the receipt will have to be adjusted.  Let’s say the original billed amount was for $263.28 for medical, and $3.10 for basic life, both of which were billed to the employee. The invoice should be modified by zeroing-out the employee deduct amounts and placing those amounts in the employer deduct amount fields.  Then request a refund be issued to the employee.  The receipt is zeroed after the refund payment is made and a Billing Month-End process has run.

This page was last updated on 10/10/2011 17:03:30