Reinstatement of Coverage After Dismissal

If you are approved to return to work as a result of legal or administrative action after being terminated by a State agency covered under an MCHCP plan, you are allowed to reinstate your medical benefits retroactively to the date of your dismissal.

If you are reinstated with back pay, you are responsible for paying any contribution normally made for either your coverage or your covered dependents. If you participate in the Copay Plan, no pre-existing condition limitation applies.

If you are reinstated without back pay, your leave is considered a leave of absence. Consequently, you are responsible for making any required contribution toward the cost of your medical benefits. If you do not purchase coverage for the period between termination and reinstatement, you may regain the same level of coverage you had prior to termination. If you are a participant in the Copay Plan, the pre-existing condition limitation applies if coverage lapsed more than 63 days. This does not apply if you participate in an HMO.