Depends on what you mean by don't work for a while. I'm a RCA and had the insurance since it was first offered. Here's how it works. If you don't have enough in your wages for a pay period to cover the whole premium amount, they will do an adjustment in the next pay period to cover the missed premium, if funds are available. If you miss 2 pay periods they will send you an invoice to pay the premiums for 2 periods. If you don't pay the premiums than your insurance is canceled. I had a hip replacement the first part of the year and was off for 3 months. I would receive an invoice and so would the PM tell them that there was premiums due. Example, if you was off for the whole month of September. You would receive an invoice in October for the 2 pay periods in Sept. It was usually due towards the end of the month, but the problem is there slow on posting it, best to get it in ASAP.