Impact of Non-Pay Statuses on Employee Deductions and Benefit Programs

I-2025-3


Effective Date: Expiration Date: Chapters:
Feb. 18, 2025 When Superseded 12   16   21  

Overview

This issuance provides information on how time spent in a non-pay status impacts employees’ payroll deductions, creditable service, and benefits/programs.

NOTE: This issuance supersedes DPM Instruction I-12-38, Impact of Extended Leave Without Pay (LWOP) and Other Non-Pay Status On Employee Benefits/Programs, effected July 28, 2008, and issuance I-12-40, Issuance of Revised D.C. Standard Form No. 1199, Request for Advance Leave or Leave Without Pay, effected October 17, 2008.

Non-Pay Statuses

Placement into a non-pay status and/or the use of unpaid leave time reporting codes (TRCs) will affect employees’ payroll deductions, creditable service, and benefits. Employees do not receive compensation for hours while on unpaid leave, or while in a non-pay status.

Impact of Non-pay Statuses

The District government payroll system is designed by default, to allow certain elected employee benefits under the District of Columbia Employee Health Benefits program (DCEHB) to continue even when an employee goes unpaid during a bi-weekly payroll period. To prevent the employee from being dropped from certain elected coverages, the system will by default:

  • Continue any District government employee elected health, life, vision, and dental benefits on a bi-weekly basis for up to a maximum of 365 days or until separation, irrespective of the cause or type of non-pay status; and
  • Have the employee incur a debt for premiums owed for benefits coverage while in a non-pay status. Once an employee resumes a pay status or uses paid TRC codes, the District government will recapture the debt by deducting an amount of $50 per pay period for each individual benefit, in addition to premium costs. The employee may also elect to pay any debts owed as one lump sum when they return to a pay status.
    • Alternatively, to avoid incurring a debt, or to limit debts that may incur, the employee may elect to terminate benefits by filing a DC Form 1199 prior to entering a non-pay status, or while in a non-pay status.

An employee’s creditable service and leave accrual rates may be negatively affected depending on the type of non-pay status and/or use of unpaid leave TRCs.

An employee who wishes to continue non-Federal Employee Health Benefits (FEHB) or non-DCEHB benefits coverage will need to arrange with the provider to pay for those benefits directly if they are not doing so already.

If an employee who is entering, or is currently in a non-pay status is covered under the Federal Employee Health Benefit program, the employing agency should reach out to DCHR for assistance and guidance for allowing the employee to elect to continue their FEHB benefits in accordance with rules set forth by the United States Office of Personnel Management.

Types of Non-pay Statuses

Leave without pay (LWOP) refers to an approved absence in a non-pay status, either at the discretion of an agency head, or as required by law in some circumstances such as military duty or FMLA. As specified in the “Impacts” section below, the approved absence may impact: (a) the employees’ creditable service, and (b) the employees’ eligibility and financial responsibilities for benefits/programs.

Absence without leave (AWOL) refers to an unauthorized absence in a non-pay status. If in extraordinary circumstances an employee is AWOL for a period that extends beyond 30 days:

  1. The employee’s creditable service for the purpose of leave accrual will be negatively impacted;
  2. The employee may be subject to discipline in accordance with Chapter 16 of the District Personnel Manual; and
  3. The employee’s eligibility and financial responsibilities for benefits/programs may be negatively affected.

Involuntary non-pay statuses, such as suspensions that extend beyond 30 days will negatively impact the employee’s length of creditable service, and may impact the employees’ eligibility and financial responsibilities for benefits/programs.

NOTE: If an employee is on any non-pay status for more than 30 days, they must complete a form DCSF 1199. The form allows employees to elect to terminate their benefits, or continue benefits coverage for up to a maximum of 365 days and incur any debt resulting from the continuation of premiums. In cases of approved leave without pay, this form should be completed BEFORE the planned leave.

 Most Common Unpaid Time Reporting Codes (not-exhaustive)

TRC Description
LWOP Leave W/O Pay
AWOL Absent Without Leave
FMLW Family Leave W/O Pay
AWOP Absent Without Pay
SWOP Suspended W/O Pay

Benefits and Programs Impacted by Time in a Non-pay Status

Benefit/Program Impact
Creditable service (Retirement)

Except for military leave or furlough as authorized under applicable law or regulations, employees who are suspended from service or who are in an unauthorized leave without pay status for more than 30 workdays, or who are on an authorized leave of absence for more than two years will not have that time count towards their creditable service towards the District’s 401(a) plan.

For employees covered by the Civil Service Retirement System (CSRS), time in a non-pay status that exceeds 6 months in a calendar year is creditable service, except for absence due to military leave or compensable injury authorized under applicable laws or regulations, which does not count towards creditable service.
Creditable service toward the Completion of Probationary Period (Career Service)

Time in a non-pay status shall not count towards service credit for the completion of a probationary period, and the length of a probationary period shall be extended for each workday in a non-pay status unless the absence:

  1. Was because of a compensable injury or military duty; or
  2. The absence following separation, suspension, or furlough, during the probationary period when any of these actions is found to have been unjustified or unwarranted and the employee is restored retroactively as of the effective date of the separation, suspension, or furlough.
Creditable service toward Within-Grade Increases (WGI)

Non-pay statuses exceeding the following timeframes shall not count towards the computation of a waiting period for a WGI:

  1. For steps 2, 3, 4, or 5, non-pay statuses exceeding two administrative workweeks; and
  2. For steps 6, 7, 8, 9, or 10, non-pay statuses exceeding four administrative workweeks.
Calculation of length of service for Reduction in Force (RIF) For the purpose of determining length of service of an employee affected by a RIF, a maximum of 6 months in a non-pay status in a calendar year may count towards creditable service. (For more information about reductions in force, refer to issuance I-2021-21.)
Calculation of creditable service towards Severance Pay For computing creditable service for severance pay, in addition to receiving 4 years of service credit for employees who qualify for veterans preference, and 3 years of service credit for an employee who qualifies for District residency preference, employees will receive credit for each full year, and 25% of a year for each 3 months of service in excess of one or more full year. Time in an unauthorized non-pay status in excess of 30 workdays, or authorized leave of absence in excess of two years, except for military leave or furlough, will not  count towards creditable service for the calculation of any eligible severance pay.
Annual and Sick Leave Accrual For full-time employees, whenever the number of hours of non-pay status cumulatively accrued by a full-time employee during a leave year equals 80 hours, the employee’s accrued leave shall immediately be reduced by the amount of annual and sick leave accruals the employee earns during one biweekly pay period. For example, if an employee had 40 hours in a non-pay status in one biweekly pay-period, and another 40 hours in a non-pay status in a second biweekly pay-period (totaling 80), the employee will have their accrued leave reduced by what they would earn in a normal pay period.
Health Benefits
  • If an employee is enrolled in a sponsored plan and enters a non-pay status or unpaid TRC code, the payroll system will by default continue health insurance coverage on a bi-weekly basis for up to a maximum of 365 days or until separation. The non-pay status may be continuous, or it may be broken by periods of less than 4 months.
  • The employee will be responsible for their share of the costs of coverage during their unpaid period and will incur a debt for premiums owed. Once an employee resumes a pay status or uses paid TRC codes, the debt will be recaptured by the District in $50/pay period amounts for each individual benefit, in addition to premium costs.
  • Alternatively, the employee may choose to terminate coverage by filing an DC Form 1199.
Vision Insurance If an employee is enrolled in the 100% sponsored vision plan, the payroll system will by default, continue coverage for up to 365 days or until separated.
Dental Insurance
  • If an employee is enrolled in a sponsored 100% sponsored dental plan, the payroll system will by default, continue coverage for up to 365 days or until separated.
  • If an employee is enrolled in a supported PPO dental plan, the employee will incur a debt for premiums owed. Once an employee resumes a pay status or uses paid TRC codes, the debt will be recaptured by the District in $50/pay period amounts for each individual benefit, in addition to current premium costs.
  • Alternatively, the employee may choose to terminate coverage by filing an DC Form 1199.
Life Insurance
  • If an employee is enrolled in a sponsored plan, the payroll system will by default, continue life insurance coverage on a bi-weekly basis for up to a maximum of 365 days or until separation. The non-pay status may be continuous, or it may be broken by periods of less than 4 months.
  • The employee will incur a debt for premiums owed. Once an employee resumes a pay status or uses paid TRC codes, the debt will be recaptured by the District in $50/pay period amounts for each individual benefit, in addition to premium costs.
  • Alternatively, the employee may choose to terminate coverage by filing an DC Form 1199.
Supplementary Insurance Employees who wish to continue non-FEHB or non-DCEHB benefits while on LWOP will need to arrange with the provider to pay for those benefits directly if they are not doing so already. For employees who have AFLAC coverage, premium payments must be continued outside of payroll directly with AFLAC, or the employee’s AFLAC coverage will be discontinued after 60 days of nonpayment.
Military Duty or Disability Compensation Non-pay status for employees who are performing military duty or receiving disability compensation counts as District Government employment for all purposes upon the employees return to duty.

 


Practical Instances of Non-pay Statuses

Authorized Leave Without Pay

Generally, agencies have the discretion whether to grant leave without pay. Many times, agencies grant leave without pay when an employee exhausts all their paid leave options. In that case, the employee should complete a DCSF-1199 form as soon as possible to seek formal approval of leave and to determine if they will continue or terminate benefits coverage.

Unauthorized Non-pay Statuses

There may be extraordinary circumstances when an employee is absent for a full-pay period or more without explanation or authorization. Typically the agency should use the AWOL (Absent Without Official Leave) TRC code to record the absence, communicate with the employee to understand the circumstances and find a resolution. Agencies should also communicate the default payroll system’s continuation of certain benefits and the accrued debt, and the option to terminate benefits. Finally, agencies should also discipline the employee as necessary in accordance with Chapter 16.

Required Instances of Approved Leave Without Pay

Beyond discretionary use of approved leave without pay, there are instances when agencies must provide leave without pay. The following examples highlight some instances where agencies must provide LWOP:

  1. When an employee is entitled to protected leave under the Family Medical Leave Act (FMLA).

Example: Debbie is out on FMLA, and she has exhausted close to all of her paid leave. However, she still requires another 30 days of leave according to her medical provider. While speaking with her FMLA Coordinator, Debbie notes that she’s not expected to return for at least another 30 days according to her medical provider. The FMLA Coordinator reviews her FMLA approval and notes it covers her beyond those 30 days. In this instance, Debbie must be placed on LWOP to cover the remaining portion of her leave. The FMLA Coordinator should also inform Debbie that she needs to complete a DCSF 1199 Leave of Absence Request and Benefits form.

  1. When a disabled veteran needs medical treatment.

Example: George received an honorable discharge under disability from the US Marine Corps. He notified his supervisor that he needs to be on extended leave for necessary medical treatment. The amount of leave without pay is unknown but is likely to extend beyond a month. Under District personnel rules, George must be placed on LWOP for the duration of the necessary medical treatment. George and his agency must also ensure that he completes a DCSF 1199 Leave of Absence Request and Benefits form.

  1. When a reservist and member of the National Guard is activated to perform military duties.

Example: Linda’s reservist unit was activated for a minimum six-month period. Her report for duty order leaves little time to schedule a sit-down meeting with her supervisor. As time is of the essence, her supervisor, Frank, already acknowledged receipt of her order through email. Frank sends her a DCSF 1199 Leave of Absence Request and Benefits form. Linda should complete the form prior to her departure.

An agency head may approve leave without pay up to a maximum of 52 calendar weeks. If additional leave is necessary beyond 52 weeks, DCHR or an independent personnel authority may extend leave without pay in unusual circumstances or when doing so is in the interest of the District government and it is known in advance that the employee will be absent for more than one year. However, health benefit coverage continues no more than 365 days within LWOP.


Required Actions if LWOP is Approved

Once the agency has approved leave without pay (LWOP) for more than 30 days, the following actions must take place:

  1. When an FMLA Coordinator, ADA Coordinator or immediate supervisor is aware of the use of LWOP, they should notify their agency HR Advisor immediately to complete a DCSF 1199.
  2. Employee must complete the DCSF 1199 and determine if they will terminate benefits, or continue benefits and accrue a debt that will be paid upon their return to work.
  3. The HR Advisor must initiate a PAR action in PeopleSoft and attach 1199 to the action.
  4. If and when the employee returns to work, the HR Advisor must process the return to work PAR in PeopleSoft and email DCHR’s Benefits and Retirement Administration (BRA) at [email protected] of the impending return to work.
  5. DCHR issues a balance notice of any debts incurred to the HR Advisor.
  6. The HR Advisor provides the notice to the employee (see Balance Notice section below).

Deciding to Continue or Terminate Coverage in a Non-pay Status

Employees enrolled in health benefits coverage who will be on extended LWOP must complete a DCSF 1199 Leave of Absence Request and Health Benefits form with their agency HR advisor. This notice:

  1. Confirms the timeframe of an employee’s leave;
  2. States an employee’s payment obligations for continuing health coverage;
  3. Explains the agency’s obligations;
  4. Conveys the employee’s notification requirements for return or resignation; and
  5. Identifies the employee’s options to either continue or terminate coverage.

Additionally, when an employee’s immediate supervisor is aware of the use of extended LWOP, they should notify the agency HR advisor immediately, and ensure completion of the DCSF 1199.

HR Representatives! Please, see HR Checkpoint 2023-01, Processing Leave Without Pay for instructions for properly processing Personnel Action Requests (PARs) for Furlough-Military (Military Leave) and LWOP. Agency human resources personnel responsible for processing PAR actions must do so in a timely manner.

Continuing Coverage

If an enrolled employee chooses to continue coverage during a period of extended LWOP, they must select the option on the DCSF 1199 and incur the debt. Individuals who choose to continue coverage during an extended LWOP period, or who incur a debt, must understand that the debt will accumulate during their absence. Once an employee resumes a pay status, the debt will be recaptured by the District in $50/pay period amounts in addition to premium costs. Alternatively, the employee may elect to pay the debt as one lump sum when they return to a pay status. 

NOTE: Any incurred debt for benefits such as health benefits, life insurance, disability insurance, health flex spending accounts will each have a $50/pay period repayment requirement for each benefit in addition to the regular employee’s premium responsibility.

 

Terminating Coverage

If an enrolled employee chooses to terminate coverage, they must select the option on the DCSF 1199. Coverage will continue for 31 days beyond the end of the pay period from which an employee terminates coverage.

Electing to terminate coverage will not affect the employee’s eligibility for coverage, and they may reenroll when they return. However, employees who wish to continue their health benefits coverage into retirement must restart their accrual of five years of continuous health benefit coverage enrollment to be eligible.

DCSF 1199 Record Retention

As previously discussed, the DCSF 1199 confirms the employee’s intention to continue or terminate health benefits coverage and describes the District’s responsibilities for continuation. Therefore, once the DCSF 1199 is completed, the HR Advisor must:

  1. Provide a copy to the employee;
  2. Retain a copy for the agency;
  3. Submit a copy to DCHR’s Benefits and Retirement Administration at [email protected]; and

Submit a copy to OCFO’s Office of Pay and Retirement Service at [email protected].


Balance Notice

Employees who choose to incur debt or have incurred debt for health benefits coverage will receive a Health Benefits Balance Notice from their HR Advisor. This balance notice includes:

  1. The effective date of the DCSF 1199;
  2. The total balance due from the employee as identified by OPRS; and
  3. An explanation of the repayment process.

Disbursement of the Balance Notice must occur when the employee:

  1. Returns to active work duty;
  2. Pay becomes sufficient; or
  3. Separation occurs.

After the notice is presented to the employee, the agency should retain a copy, and submit a copy to DCHR BRA at [email protected].


Applicability

This issuance applies to those District government agencies subordinate to the Mayor’s personnel authority. Other personnel authorities or independent agencies may adopt any or all these procedures to provide guidance to employees under their respective agencies.


References


Attachments

  1. DCSF 1199 Leave of Absence Request and Health Benefits
  2. Health Benefits Balance Notice
  3. PAR Processing Guide
  4. HRA Actions Guide
  5. Sample Letter - Where Are You

Issued by Director Charles Hall Jr., D.C. Department of Human Resources on Feb. 18, 2025, 10:24 a.m.