Self-Payment and You
The contributions made by your employer will be used to fund the level you select. If contributions are not adequate to fund the level you select, you may be able to make self-payments to continue coverage.
If you have at least $300 in your Dollars Bank account as of the 25th day of a month, but not enough to pay for coverage at your Plan Level, you can self-pay the difference. In order to make a self-payment, there can be no lapse in coverage and your full self-payment must be made by the 10th day of the coverage month. If you do not have at least $300 in your Dollars Bank account or full payment is not made for coverage at your Plan Level, your coverage will stop and you will have the opportunity to pay for COBRA continuation coverage. Your coverage as an active employee will resume if, within 13 months of losing coverage, you have enough dollars accumulated in your Dollars Bank for a full month of coverage at your Plan Level.
You may choose to deposit personal funds into a self-payment account so that, if you do not have enough employer contributions to maintain coverage, your self-payment account will be debited. You may keep a maximum of the amount of the cost of one month of coverage at your Plan Level in this self-payment account. Funds in this account will be automatically debited at the earliest date that you are eligible to make a self-payment, if the funds in the self-payment account are sufficient to continue your coverage. For example, if you have a Self-Payment Account and as of the 25th day of a month need to make a self-payment to continue coverage for the following month, and the Self-Payment Account contains enough funds to make that payment, the payment needed to continue your coverage will automatically be made from your self-payment account on that date.
There are several methods by which you may make self-payments including check and via credit card. Contact the Customer Service office for more information.