A simple explanation of two complex laws.
Family Medical Leave Act
Americans with Disabilities Act
New York Life Group Benefit Solutions products and services are provided by Life Insurance Company of North America and New York Life Group Insurance Company of NY, subsidiaries of New York Life Insurance Company. 855135 b 0221 SMRU 1894651 Exp. Date 04.05.2023 Introduction
You Your business Your employees
FMLA ADA Americans with Family Medical Disabilities Act Leave Act
Products available through one or more carriers not affiliated with New York Life Insurance Company, dependent on carrier authorization and product availability in your state or locality. Overview
FMLA Family Medical • Federal law in 1993 Leave Act • 50 or more employees FMLA Overview
What is the FMLA? • Unpaid time off
• Balance work and family
• Protect employee’s job
reinstate position • Maintain group health insurance same terms FMLA Eligibility
Who is eligible? 3 criteria 1 Minimum of 12 months service
2 1,250 hours in previous 12 months
3 50 employees in a 75-mile radius FMLA Qualifications
Qualifying reasons.
1 2 3 FMLA Unpaid leave
How much time? • 12 workweeks of unpaid leave
• 26 workweeks for military family member • Based on work schedule 40 x 12 = 480 Example HOURS WEEKS HOURS USE OVER 12-MONTH PERIOD FMLA Intermittent
Continuous
Intermittent
Reduced FMLA Intermittent
Regulation Employer’s policy Regulation
Not required: • Intermittent • Reduced FMLA Intermittent and reduced ? Employee Certified by How often request health care and how long provider FMLA Intermittent and reduced
Greg Janet
Frequency 1 Frequency 3x WEEK MONTH
4 Duration 8 Duration HOURS HOURS FMLA Intermittent
Reporting policy
Employee Approval FMLA State and Federal laws
State laws
Federal laws FMLA State and Federal laws
State
Start End
Federal
Start End FMLA State and Federal laws
up to over worked Connecticut 16 24 1,000 weeks months hours
up to over worked Federal 12 12 1,250 weeks months hours FMLA How administered
Communicate Track Gather Determine
Employers
Certify Inform Notify Tell FMLA How administered
Prominently display posters
Provide information on FMLA rights
Employers
Inform Explain rights in employee handbook FMLA How administered
Foreseeable: 30-day notice
Childbirth
Adoption/foster
Medical treatment Employers Not foreseeable
Sudden change Notify Unknown start Notify employer FMLA How administered
Determine eligibility
Notification by mail within five days
Must explain why not eligible
Employers
Certify FMLA How administered
Determine
Employers Review medical certification Determine if a job-protected leave
Intermittent: Frequency/duration Tell employee of missing info Continuous: Number of hours Employee has seven days to complete Denied: Explanation why Give determination notice in five days FMLA How to manage
Intermittent leave
Employee Employer
• Provide medical certification • Must tell employee with frequency and duration if incomplete FMLA How to manage
Intermittent leave
Employee Employer
• Submit request for leave • Review against certified frequency, duration, time used
• Update new certification form • Send notice if request exceeds certification
• Approve or deny time ADA Overview
Prohibits disability discrimination ADA Federal law in 1992 Americans with Amended in 2008 Disabilities Act – Broadened definition of “disability” – Physical or mental impairment that limits major life activity ADA Overview A change in Employer is work environment not obligated to help individual to create a perform their job new job What is a
reasonable Employer is obligated to accommodation? provide change
Employer is not Employer Employer is not Employee or required to responsible for obligated to representative make a change making changes make changes is responsible if it causes only if they are for unqualified for requesting undue hardship made aware of it individuals accommodation ADA Overview
Reasonable accommodation
May take many forms What the law states
• Changes to existing facility • Has to be reasonable • New or modified equipment • Does not have to be the • Qualified readers or interpreters same as what was requested • Reassigning employee to • Does not have to be the another position best option • Leave of absence • Does not have to be the most expensive option • Employer may request documentation ADA Undue hardship
Costly
• Show how it is a hardship
• Document how it will Alter the Undue Extensive adversely affect business business hardship • Find different accommodation
• Choose from options
Disruptive ADA Undue hardship
Reasonable accommodation Costly
• Workstation enhancements • Stand-lean stool • Anti-fatigue mat Alter the Undue Extensive business hardship • Allowed to take breaks
• Improved performance • Stay at work Disruptive • Avoid potential disability ADA Definition
What is an ADA disability? 1 2 3 ADA Definition
What is an ADA disability?
An actual disability • Physical or mental impairment limiting major life activity • Limited use of major bodily function 1 • Examples: cancer, hearing impairment ADA Definition
What is an ADA disability?
A record of disability
• A history of physical or mental impairment limiting life activity 2 • Example: cancer in remission ADA Definition
What is an ADA disability?
Regarded as having disability
• Establish discrimination
• Example: skin graft scars 3 • Accommodations not required ADA Example
Impact of ADA on benefits and laws
Benefits Definition under of disability disability
Evaluate cases individually ADA Leave
Reasonable Leave of absence accommodation
• Exhausted time under FMLA or state law • Doesn’t qualify for FMLA • “Open-ended” is not reasonable
• Automatic termination Violations • Return to work with no restrictions
• Protected under ADA Example • Requires only light duties ADA Interactive process
Employers Employees Accommodation ADA Interactive process
Select Gather Monitor
Employers
Implement Recognize
Explore
Document Managed confidentially and separately ADA Interactive process
Employee makes a request
Notify need of accommodation
Consider request under ADA Employers
Recognize accommodation request
Respond immediately ADA Interactive process
Gather Documentation to qualify disability information Job related and business necessity
Know tasks being impacted Employers
Evidence for the accommodation
Or not required to provide it ADA Interactive process
Meet with the employee
Explore accommodation options
Vocational coaches Employers
Explore accommodation options ADA Interactive process
Decide on what to implement
Consider what employee prefers
Your choice based on documentation EMPLOYERS No options that pose undue hardship
Select accommodation ADA Interactive process
Install and train on new equipment
Notify managers of change
Outside service provided quickly Employers Time for employee to acclimate
Implement accommodation Retaliation prohibited ADA Interactive process
Monitor accommodation
Periodically check on effectiveness
Employers Communicate with your employee
Ineffectiveness
• Change in limitations • Equipment changes • Job changes • Workplace changes • Undue hardship Conclusion
Complex nuances
Follow policies
Understand your roles
FMLA ADA Family Medical Americans with Leave Act Disabilities Act
dol.gov eeoc.gov
Group insurance products are insured by Life Insurance Company of North America and New York Life Group Insurance Company of NY, affiliates of New York Life Insurance Company. © 2021 New York Life Insurance Company, New York, NY. All Rights Reserved Conclusion Expertise for compliance
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The information contained herein does not constitute legal advice or a legal opinion on any specific facts or circumstances. The contents are intended for general information purposes only, and you are urged to consult a lawyer concerning your own situation and any specific legal questions you may have. New York Life Group Benefit Solutions assumes no responsibility for any circumstances arising out of the use, misuse, interpretation, or application of any information supplied in this publication.
The information contained herein does not constitute legal advice or a legal opinion on any specific facts or circumstances. The contents are intended for general information purposes only, and you are urged to consult a lawyer concerning your own situation and any specific legal questions you may have. New York Life Group Benefit Solutions assumes no responsibility for any circumstances arising out of the use, misuse, interpretation, or application of any information supplied in this publication. through one or more carriers not affiliated with New York Life Insurance Company, dependent on carrier authorization and product availability in your state or locality.
© 2021 New York Life Insurance Company, New York, NY. All Rights Reserved
Group insurance products are insured by Life Insurance Company of North America and New York Life Group Insurance Company of NY, affiliates of New York Life Insurance Company. © 2021 New York Life Insurance Company, New York, NY. All Rights Reserved