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Family and Medical Leave Act FAQs
by
Neil Klingshirn
Overview of the
FMLA
Am I eligible for family leave?
What kinds
of family or medical issues qualify for FMLA leave?
Is FMLA eave paid?
What are the FMLA benefits?
Do I return to the same job from Family or Medical Leave?
What notice must I give before taking FMLA leave?
What information must
my employer to give me about FMLA rights?
What is
"intermittent" FMLA leave?
What is a serious
health condition?
Do I have to
get a doctor's opinion for FMLA leave?
What must the doctor certify?
Can
my employer require a second or third opinion?
How often
must I update my FMLA medical certification?
Will I have
to take a fitness for duty exam when I return?
What are my rights
and remedies if my employer violates my FMLA rights?
- signed into law in 1993 by President Clinton;
- enacted so that employees of larger employers
could get time off work to attend to serious family illnesses,
child birth and adoption without losing their job;
- before the FMLA, employers did not have
to provide employees with any leave for illness, although
Ohio required Ohio employers to provide leave for childbirth.
The significance of the FMLA is that a covered employer
must return you to your same job when you return from an
FMLA covered leave.
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Am I eligible for family or
medical leave?
To be eligible:
- You must work for an employer with 50 or
more employees in the current or preceding year;
- You must have been employed at least 12
months and who worked in excess of 1,250 hours in the previous
12 month period;
- You have not taken mor than 12 weeks of
FMLA designated leave during any 12 month period.
What kinds of absences qualify
for FMLA leave?
You can take leave for
- The birth of your child, whether you
are the mother or father;
- The placement of a child with you for
adoption or foster care.
- To care for a spouse, child, or parent
who has a serious health condition; or
- To care for your own serious health condition.
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No. You can, however, use available vacation
or sick time. Your employer can also require you to
use vacation and can, at its option, make it a paid or partially
paid leave.
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- Your employer must continue your
coverage under its health insurance plan;
- You must pay your share of the premium
(if any) during the leave.
- If you do not make timely payments of your
share of the health care premiums, your employer does not
have to maintain health insurance after you are more than
30 days late with your premium payment.
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- Key employees (employees in the top 10
of the employer's earners) do not have the right to return
to their old jobs if "substantial and grievous injury
results to employer to do so." If you are a key employee,
your employer must notify you before you take leave that
it will not restore you to your former position.
- Other than "key employees," an
employer must restore all other employees to the same or
equivalent position, with the same pay and benefits.
- After a leave, the employer must restore
you to the position you held when the leave began,
or to an equivalent position, with equivalent employment
benefits, pay, and other terms and conditions of employment.
The term 'equivalent' does not mean merely 'comparable'
or 'similar.' Instead, it requires a correspondence to the
duties and all other terms, conditions, and privileges of
the employee's previous position.
- However, upon your return you have no greater
right to reinstatement or to other benefits than if you
had been continuously employed during the leave. For example,
if you would have been laid off during your leave, you get
to return to work only when your employer recalls you from
the layoff.
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- You must give at least 30 days notice before
leave, if possible.
- If this is not possible, you must give
notice as is practicable.
- You do not have to ask for FMLA leave by
name. However, you need to tell your employer enough
to let your emloyer figure out that the reason you need
to take leave will be covered by the FMLA.
- The burden is on the employer to figure
out whether a leave request is a request for an FMLA-qualified
leave.
- An employee who does not notify the employer
of the need for FMLA leave cannot later claim that the employer
denied him or her his or her rights under the Act.
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What notice must
my employer give me before charging time off from work
against my FMLA time?
- First, if you have an employee handbook
or any other written policies concerning employee benefits
or leave rights, your employer must include information
about the FMLA with it.
- The handbook must explain the employer's
general policy regarding any requirement for fitness-for-duty
certification to return to work and requirements to use
up vacation while on leave.
- The employer's obligation is not just to
have a written statement of FMLA rights, but also of the
employer's own policy with regard to the FMLA.
- If addition, your employer must give you
written guidance about all of your rights and obligations
under the FMLA whenever an you ask for leave under the FMLA
or the employer intends to designate your leave as covered
under the FMLA.
- If an employer's policies so provide, the
notice must include, as appropriate, the following:
- that the leave will be counted against
their annual FMLA leave entitlement;
- any requirements for the employee to
furnish medical certification of a serious health condition
and the consequences of failing to do so;
- the employee's right to substitute paid
leave and whether the employer will require substitution
and the conditions related to it;
- any requirement to maintain health premiums;
- any requirement to present a fitness-for-duty
certificate upon returning to work;
- their status as 'key employee' and potential
for not being restored to work after a leave;
- right to restoration; and
- potential liability for employee's share
of health premiums if one doesn't return to work.
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- Intermittent leave is time off from work
on an occasional basis, as opposed to entire days at a time.
Your doctor must certify that you need to take occasional
time off in order to qualify for it.
- You can qualify for intermittent leave
where your or your family member's condition is intermittent
and where your are needed only intermittently. This
could be the case, for example, where other care is normally
available or where responsibilities are shared with other
family members or third parties, but you have to be available
in emergencies.
- Intermittent or reduced schedule leave
may be taken for:
- planned medical treatment that is medically
necessary;
- unanticipated medical treatment that
is medically necessary;
- recovery from treatment;
- recovery from a serious health condition;
or
- providing care or psychological comfort
to an immediate family member with a serious health condition.
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- A 'serious health condition' is an illness,
injury, impairment, or physical or mental condition that
involves inpatient care in a hospital, hospice, or residential
medical care facility, or continuing treatment by a health
care provider.
- A serious health condition covers conditions
or illnesses that cause you or a family member to be absent
from work on a recurring basis for more than a few days
for treatment or recovery.
- The standard for your own serious health
condition is higher than that for a family member's serious
health condition. Specifically, you may take leave
to care for a family member who merely has a serious health
condition. Your own health condition must be such
that you are unable to perform the functions of your position.
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- Yes, if your employer's FMLA policy says
you have to give one.
- Employers must ask employees to submit
a completed and signed health care provider certification.
- Certification may be required at start
of leave, during leave, and upon your return after leave.
- An employer must allow an employee at least
15 days to obtain a certification after making a request
for certification. An employer must give notice of a requirement
for medical certification each time a certification is required.
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- An employer may ask for a certification
that states:
- the date on which the serious health
condition began;
- its probable duration;
- the appropriate medical facts within
the knowledge of the health care provider regarding the
condition; and
- that the employee is needed to care for
a son, daughter, parent, or spouse, with an estimate of
the amount of time that the care will require.
- In the case of intermittent leave or leave
on a reduced schedule, your employer can also require your
doctor to state:
- in the case of leave for planned medical
treatment, the dates on which the treatment is expected
to be given and the treatment's duration;
- in the case of leave for an employee's
own serious health condition, a statement of the medical
necessity for an intermittent or reduced schedule leave;
and
- in the case of leave for family members,
a statement that this type of leave is necessary for the
care of the family member, or will assist in their recovery,
and the expected duration and schedule of the intermittent
or reduced schedule leave.
- In most cases, the employer should request
a certification when the employee gives notice of a need
for the leave or within two business days of that notice.
In the case of an unforeseen leave, the request should be
made within two business days of the start of the leave.
An employer may request certification at a later date if
it later has some reason to question the leave's appropriateness
or duration.
- The requirement to provide a certification
must be in writing and also must state the consequences
of failing to submit the certification. Thus, where an employer
had not yet amended its employee handbook to include FMLA
requirements, an employee was improperly terminated for
failure to provide the certification where the request was
made orally only and she was not informed that she would
be terminated for failure to supply the certification.
- If the employer finds a certification incomplete,
it must so advise the employee and allow him a reasonable
opportunity to fix any deficiency. The 'timely manner' requirement
means that certification must be provided, when possible,
in advance or at the start of the leave. If the need for
the leave does not permit this timing, certification should
be provided reasonably soon after the leave begins.
- An employer may not request additional
information from the employee's health care provider. However,
a health care provider representing the employer may contact
the employee's provider, with the employee's permission,
for the sole purposes of clarification and authentication
of the certification. If an employee is on FMLA leave concurrently
with a workers' compensation absence and the applicable
workers' compensation statute permits an employer or its
representative to have direct contact with the employee's
provider, the employer may follow the workers' compensation
procedures.
The Department of Labor has a downloadable
copy of its Certification
of Health Care Provider on its website. An employer can
use its own form but that form cannot ask for more information
than the Department of Labor's Certification of Health Care
Provider.
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- If your employer has reason to doubt the
validity of the certification, it may require, at its expense,
the opinion of a second health care provider, so long as
the health care provider is not regularly employed by the
employer.
- Once you submit a completed certification,
your employer may not request additional information from
the doctor who gave that certification, but may require
a second opinion at the its expense.
- Unlike the written request required for
the first certification, an employer's request for a second
(or third) certification need only be made verbally. If
an employer is located in an area where access to health
care is extremely limited, it may regularly utilize the
services of a provider for second opinions.
- If the second opinion differs from the
first opinion, the employer may require, at its own expense,
the opinion of a third health care provider, designated
or approved jointly by the employer and employee.
- The third health care provider's opinion
is final and binding on the employer and employee. The employer
and the employee must act in good faith in agreeing on a
third opinion provider. In case either fails to act in good
faith, they are bound by the earlier opinion--the first
health care provider if the employer does not act in good
faith or the second health care provider if the employee
acts unreasonably.
- An employer must provide a copy of any
second or third opinions to the employee on the employee's
request. These must be provided within two business days
unless there are extenuating circumstances.
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Your employer can require you to obtain subsequent
recertifications on a reasonable basis. The frequency of recertification
depends on the nature of the leave and on other circumstances.
Specifically, an employer may require recertification for:
- pregnancy, chronic, or permanent/long-
term conditions under continuing supervision of a health
care provider no more frequently than every 30 days and
only in connection with an employee's absence, unless
circumstances have changed significantly or the employer
receives information casting doubt on the reason for the
employee's absence;
- a leave that had been certified by a
health care provider as having a minimum duration in excess
of 30 days and that time period has expired, unless one
of the conditions described in (4) below are met;
- intermittent and reduced schedule leave
no more frequently than the minimum time period specified
on the certification as needed for the leave, unless one
of the conditions described in (4) are met; or
- any other condition at any reasonable
interval, but no more frequently than every 30 days unless
the employee requests an extension, circumstances have
changed significantly such as with regards to the illness's
duration or nature or complications, or the employer receives
information casting doubt on the reason for the employee's
absence.
- The employee must respond to the recertification
request within the time frame suggested by the employer,
which must allow at least 15 calendar days from the date
of the request, unless it is not practicable to do so
despite the employee's diligent, good-faith efforts. The
costs of recertifications are the employee's obligation,
unless the employer provides otherwise. However, an employer
may not request second or third opinions.
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- Yes, so long as your employer gives you
an additional, specific notice that it requires a fitness-for-duty
certification either at the time leave is requested or immediately
after leave commences and your employer is advised
of the medical circumstances requiring the leave. However,
no notice is required if your condition changes from one
that did not previously require certification.
- The only fitness for duty exam that you
must pass is one by your own doctor. Your employer
must accept your fitness for duty certification and cannot
require a second or third opinion.
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- You can file a complaint with the
Department of Labor, which will investigate and, if appropriate,
pursue your FMLA claim for you.
- You can also go to court on your own and
file a civil lawsuit. If you win, you can recover:
- lost pay and benefits plus interest,
or the cost of providing care to a seriously ill family
member, plus interest. These are your "economic
damages";
- a penalty equal to twice the amount of
your economic damages;
- reinstatement, promotion, or an injunction
against you from returning to your job; and
- attorneys fees, expert witness fees and
court costs.
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For more information about the FMLA and your
right to take Family and Medical Leave, contact Neil
Klingshirn at Fortney & Klingshirn. We offer an initial
consultation at a charge of $200. If you would like a consultation
but are not sure if your claim is worth the expense of a consultation,
email me with your question. I will do my best, in a brief
response, to let you know if a consultation makes for you.
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Fortney
& Klingshirn
4040 Embassy Parkway, Suite
280
Akron, Ohio 44333
telephone 330-665-5445 - fax 665-5446
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