| A. |
Coverage
and Eligibility : Return to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
Private employers with 50 or more employees
are "covered employers." |
| |
An employee is eligible for FMLA leave if the
employee: |
| |
| Works at a worksite with 50 or more
employees or for an employer who has 50
or more employees within 75 miles of that
worksite; |
| |
| Has worked for the employer for at
least 12 months; and |
| |
| Has worked at least 1,250 hours over
the 12-month period prior to the date
leave commences. |
|
| |
|
| 2. |
ADA: |
| |
An employer with 15 or more employees is a
"covered employer. " |
| |
A qualified individual with a disability is
protected by the ADA. Both an applicant and an
employee (regardless of time worked) are thus
subject to the ADA's protections. |
| |
|
| 3. |
WORKERS' COMPENSATION: |
| |
An employer with 1 employee is a
"covered employer." |
| |
An employee who incurs an injury that arises
out of and in the course of the employment
relationship is protected. An employee who has a
pre-existing condition that is aggravated or
accelerated by the workplace is also protected. |
|
| |
|
| B. |
General
Purpose and Requirements : Return to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
An employee receives up to 12 weeks of unpaid
leave per 12-month period for 1) child care
following the birth of a child or placement of a
child for adoption or foster care; 2) in order to
care for a spouse, child or parent of the
employee who has a serious health condition; 3)
because of a serious health condition that makes
the employee unable to perform the essential
functions of his/her position. |
| |
|
| 2. |
ADA: |
| |
Prohibits discrimination in all aspects of
employment against a qualified individual with a
disability who can perform the essential
functions of the job, with or without reasonable
accommodation. Reasonable accommodation must be
provided absent undue hardship or unless the
employee is a direct threat to the health and
safety of himself or others. |
| |
|
| 3. |
WORKERS' COMPENSATION: |
| |
Requires reasonable and necessary medical
treatment and temporary and permanent disability
benefits for an employee sustaining a work
related injury. |
|
| |
|
| C. |
Critical
Definitions : Return to Top : Exit Article |
| |
Serious health condition is defined as: Inpatient
care - Any period of incapacity or any
subsequent treatment in connection with such inpatient
care.
Absence plus treatment by a health care
provider - Any period of incapacity of more than
three consecutive calendar days (and any subsequent
treatment or period of incapacity relating to the same
condition) that also involves:
Treatment two or more times by a health care provider,
nurse or physician's assistant or provider of health care
services under orders from, or on referral by a health
care provider; or
Treatment by a health care provider on one occasion
that results in a regimen of continuing treatment under
the supervision of a health care provider.
Pregnancy - Any period of incapacity
due to pregnancy or for prenatal care.
Chronic Conditions Requiring Treatment
- Any period of incapacity or treatment for such
incapacity due to a chronic serious health condition. A
chronic serious health condition is one which:
Requires periodic visits for treatment to a health
care provider;
Continues over an extended period of time; and
May be episodic rather than a continuing period of
incapacity.
Examples include asthma, diabetes and epilepsy.
Permanent/Long Term Conditions Requiring
Supervision - Any period of incapacity which is
permanent or long term for which treatment may not be
effective. Continuing supervision, but not active
treatment, by a health care provider is required.
Examples include Alzheimer's, a severe stroke or the
terminal stages of a disease.
Multiple Treatments (Non-Chronic Conditions)
- Any period of absence to receive multiple treatments by
a health care provider for restorative surgery after an
accident or injury, or for a condition that would result
in an absence of more than three consecutive calendar
days if left untreated.
Examples include chemotherapy for cancer, physical
therapy for severe arthritis and dialysis for kidney
disease.
|
| |
| 1. |
ADA: |
| |
An individual has a disability if that
individual either 1) has a physical or mental
impairment which substantially limits one or more
of that person's major life activities; 2) has a
record of such an impairment; or, 3) is regarded
as having such an impairment. Temporary
impairments and pregnancy are excluded. |
| 2. |
WORKERS' COMPENSATION: |
| |
Work related injury includes any illness or
injury arising out of and in the course of
employment, including aggravation and
acceleration of a prior illness or injury. |
|
| |
|
| D. |
Employer
Notice Requirements : Return to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
An employer has an affirmative obligation to
designate absences as FMLA leave. The FMLA
requires very specific and detailed notice
including: × Posting of FMLA poster
× FMLA policy in handbook or policy manual
(if employer has such a handbook or manual)
× Written guidance if no handbook or policy
manual
× Written notice of FMLA rights and
obligations to employees requesting leave (DOL's
Employer Response to Employee's Request for Leave
Form)
× Written notice of designation of leave as
FMLA leave
× Written/oral notice of medical
certification and fitness for duty certification
requirements
× Written notice of key employee designation
Frequency of notice is generally dependent
upon the type of FMLA leave take (continuous v.
intermittent/reduced leave) and whether the
employer's leave information changes.
|
| 2. |
ADA: |
| |
Employers must post a notice in an accessible
format to applicants and employees that describes
the provisions of the ADA (EEOC poster is
available). An employer's duty to provide
reasonable accommodation is triggered by an
employee's request. However, depending upon the
circumstances, an employer should consider
initiating a reasonable accommodation discussion.
|
| 3. |
WORKERS' COMPENSATION: |
| |
An employer must post a notice advising an
employee of his/her rights under the workers'
compensation statute. |
|
| |
|
| E. |
Employee
Notice Requirement : Return to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
An employee need not specifically state need
for "FMLA leave" but only an FMLA leave
qualifying reason. For leaves that are
foreseeable, 30 days notice must be given to the
employer. For unforeseeable leaves, notice must
be given as soon as practicable, usually verbal
notification within one or two business days of
when the need for leave becomes known. For
paid FMLA leave, the employer's notification
requirements for the particular paid leave being
substituted apply, even if less stringent.
|
| 2. |
ADA: |
| |
An employee has the obligation to request a
reasonable obligation. However, depending upon
the circumstances, an employer should consider
initiating a reasonable accommodation discussion. |
| 3. |
WORKERS' COMPENSATION: |
| |
An employee must report a work related injury
within 30 days of the occurrence of the illness
or injury, and file a claim within 1 year (2
years in Virginia). |
|
| |
|
| F. |
Job Protection : Return to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
Guaranteed, employees must be restored to
their same or equivalent position absent special
circumstances. |
| 2. |
ADA: |
| |
Not guaranteed, but must satisfy reasonable
accommodation requirements. |
| 3. |
WORKERS' COMPENSATION: |
| |
Not guaranteed, but unlawful to terminate an
employee for exercising rights under the workers'
compensation statute. |
|
| |
|
| G. |
Benefit
Protection : Return to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
For group health benefits, an employer must
continue to provide coverage during FMLA leave
under the same terms offered to employees not on
leave and is required to reinstate an employee
upon return from FMLA leave to equivalent group
health benefits. × A full-time employee who
takes FMLA leave on an intermittent basis or on a
reduced leave schedule must be afforded the same
group health coverage as if full-time
For non-group health benefits, an employer is
not responsible for maintaining coverage during
an FMLA leave BUT an employer is required to
reinstate an employee upon return from FMLA leave
to equivalent benefits.
|
| 2. |
ADA: |
| |
An employer cannot discriminate against a
qualified individual with a disability with
respect to benefit coverage (~, an employee with
a disability must receive the same benefits as an
employee who does not have a disability). A
full-time employee who becomes part-time because
of a reasonable accommodation need only receive
whatever benefit coverage is afforded to
part-time employees (absent FMLA protection).
|
| 3. |
WORKERS' COMPENSATION: |
| |
Not guaranteed, although most employers
continue benefits while an employee is on a
workers' compensation leave. |
|
| |
|
| H. |
Medical
Examination Requirements : Return to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
An employer may require medical certification
of an employee's or covered family member's
serious health condition by the employee's or
family member's health care provider. ×
Employer can only request information contained
in DOL's Medical Certification Form and upon
receipt of a completed Form cannot request
additional information from the health care
provider.
Caveat: A health care provider representing
the employer may contact the employee's health
care provider, with the employee's permission, to
clarify and authenticate the certification.
Caveat: If the employee is on workers'
compensation leave and the workers' compensation
statute permits the employer to have direct
contact with the employee's health care provider,
the employer can follow the statute.
If the employer doubts the validity of the
medical certification form, the employer can
obtain a second opinion, at its expense. If the
second opinion differs, the employer can require
a third opinion, which is final and binding.
× Significant restrictions on second and
third opinions
× Second opinion cannot be from a health care
provider the employer regularly utilizes or
contracts with
× Employee/family member must be reimbursed
for reasonable out-of-pocket expenses incurred in
obtaining the second/third opinion
× Employee/family member cannot be required
to travel more than a reasonable commuting
distance for the second/third opinion
× Notice of medical certification requirement
should be in handbook and in Employer Response
Form; then, only oral notice to employee of need
for medical certification must be given --
otherwise, written notice must be given
Confidentially requirements similar to ADA
apply to both employee and family member
medical-related records
|
| 2. |
ADA: |
| |
For an applicant, any medical examination
must be given post-offer. The employer may
condition the offer of employment on the results
of the exam provided that all entering employees
in the same job category are required to take an
exam. For a current employee, medical
examinations may be required when
× There is a need to determine whether the
employee is still able to perform the essential
functions of the job
× If necessary to the reasonable
accommodation process
× If required by applicable federal, state or
local law as long as job related and consistent
with business necessity
× If otherwise job related and consistent
with business necessity
No restrictions on the selection or location
of a physician or obtaining additional
information from the employee's physician.
Medical information sought should be related
to disability.
Medical records must be kept confidential, in
a file separate from personnel files and in a
separate locked cabinet. Only those with a true
need to know should have access.
|
| 3. |
WORKERS' COMPENSATION: |
| |
An employee has the absolute right to have
the employee undergo an evaluative examination,
at the employer's expense. × Employee must be
reimbursed for reasonable out-of-pocket expenses
incurred in obtaining the second/third opinion.
× No restrictions on the selection or
location of a physician or obtaining additional
information from the employee's physician.
|
|
| |
|
| I. |
Fitness
For Duty Certification Requirements : Return to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
Fitness for duty certification upon return to
work from an FMLA leave may be required as long
as the following conditions are met: ×
Employer must have a uniformly applied practice
or policy applicable to all employees, not just
those returning from FMLA leave
× Notice of fitness for duty requirement
should be in handbook and in Employer Response
Form; then, only oral notice to employee of need
for fitness for duty certification must be given
-- otherwise, written notice must be given
× May seek certification only with regard to
the particular health condition that caused the
FMLA leave
× "Clarification" of the fitness
for duty certification can be obtained by a
health care provider employed by the employer,
but only with the employee's consent
× An employer cannot seek a second or third
opinion
× Fitness for duty certifications cannot be
required for intermittent leaves
× ADA obligations must be met (see below)
|
| 2. |
ADA: |
| |
Fitness for duty certifications upon return
to work may be required when: × There is a
need to determine whether an employee is still
able to perform the essential functions of the
job
× If necessary to the reasonable
accommodation process
× If required by applicable federal, state or
local law as long as job related and consistent
with business necessity
× In all circumstances, must be job related and
consistent with business necessity
No restrictions on contact with employee's
physician or obtaining second/third opinion
|
| 3. |
WORKERS' COMPENSATION: |
| |
Fitness for duty certification upon return to
work from a workers' compensation leave may be
(but usually is not) required. Medical
information sought should be related to
injury/illness.
No restrictions on contact with employee's
physician or obtaining second/third opinion.
|
|
| |
|
| J. |
Intermittent
Leave Or Reduced Leave Schedule
: Return to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
An employee has the absolute right to an
intermittent leave or leave on a reduced leave
schedule for the employee's serious health
condition or to care for a family member with a
serious health condition, if medically necessary.
An employer may transfer an employee to an
alternative position with equivalent pay and
benefits that better accommodates the leave
schedule. |
| 2. |
ADA: |
| |
Intermittent leave or leave on a reduced
leave schedule may be a reasonable accommodation
but employer has an undue hardship defense. The
employee does not have the absolute right to such
a leave. Note: The fact that an employee has
taken such a leave under FMLA may make the undue
hardship defense more difficult. |
| 3. |
WORKERS' COMPENSATION: |
| |
No right to intermittent leave or leave on a
reduced leave schedule. |
|
| |
|
| K. |
Attendance : Return to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
Absences for an FMLA leave qualifying reason
cannot be counted as occurrences under a no fault
attendance program. |
| 2. |
ADA: |
| |
Absences due to a disability may be counted
as occurrences under a no fault attendance
program but reasonable accommodation principles
apply. |
| 3. |
WORKERS' COMPENSATION: |
| |
Absences due to a workers' compensation
injury may be counted as occurrences under a no
fault attendance program, but unlawful to
terminate an employee for exercising rights under
the workers' compensation statute. Treat the same
as you would a personal injury. |
|
| |
|
| L. |
Light Duty
Programs :
Return
to Top : Exit Article |
| |
| 1. |
FMLA: |
| |
An employee must be able to perform the
essential functions of his/her position or an
equivalent position upon return from FMLA leave
or when requesting intermittent leave or leave on
a reduced leave schedule. Reinstatement or
transfer to a true light duty position (i.e., a
make work job where essential job functions have
been removed) is not required -- but ADA may
apply. Also, an employee has the absolute right
to FMLA leave even if the employer offers the
employee a light duty job (but in a workers'
compensation situation, temporary total
disability benefits would cease). |
| 2. |
ADA: |
| |
Reasonable accommodation should not require
reinstatement or transfer to a true light duty
position because the ADA does not require an
employer to remove essential functions from a
position. However, if an employer has light duty
positions available to employees with work
related injuries or employees remain in light
duty positions for so long that a new position is
created, the EEOC may take the position that
employees with non-work related disabilities are
entitled to light duty. Therefore, an employer
should place as many limits on its light duty
program as possible, i.e., limited by time,
number of positions, etc. |
| 3. |
WORKERS' COMPENSATION: |
| |
Not required but if offered, employee must
accept position or may lose temporary total
disability benefits. |
|
| |
|