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Medical Leave Act in Need of Definition

by Geoffrey Glaser

The essence of the Federal Family and Medical Leave Act of 1993 requires certain employers to provide up to 12 weeks of job- protected leave per year to specified employees.

The act also requires employers to continue providing group health benefits during the leave period and to restore employees to the same or an equivalent position upon their timely return to work.

As you can imagine, just about every word in the previous sentences has been interpreted, misinterpreted, argued and litigated and will continue to be so. I hear horror stories from both employers and employees.

Employers tell me their employees expect time off because of "family leave" but the reasons for which they are requesting time off are not covered by the act. On the other hand, the employees believe their employers do not administer the program correctly. So, without going into a lengthy discussion of everything that could be said about the act, let's just cover a few of the basics.

Employees are covered only if they employer employs 50 or more employees. Not all employees are protected - only if they have been employed for at least 12 months and have worked at least 1,250 hours during the 12-month period immediately preceding the commencement of the leave.

The only qualifying events for leave are:

  • For the birth of a child and/or care of that newborn, or when a child is placed with the employee for adoption or foster care. (Men or women are eligible.)
  • For the care of a spouse, child or parent with a serious health condition.
  • For the employee's own serious health condition which renders the employee unable to perform the functions of the job.  A serious health condition is an illness, injury, impairment or physical or mental condition which requires either inpatient care (at least an overnight stay), or continuing treatment by a health care provider. Continuing treatment includes:
    • A period of incapacity due to pregnancy.
    • A period of incapacity of more than three consecutive calendar days.
    • A period of incapacity due to a chronic serious health condition.
    • A period of incapacity which is permanent or long-term due to a condition for which treatment may not be effective.
    • A period of absence to receive multiple treatments, such as in the case of chemotherapy, kidney dialysis or physical therapy.
    • An employee's serious health condition is where a health care provider finds the employee unable to work at all, or unable to perform one of the "essential functions"; of the job (reference to the Americans with Disabilities Act).

Obviously, it is not easy to explain this term. Nevertheless, it is not physical, eye or dental examinations; nor activities which can be initiated without a visit to a health care provider regarding the common cold, headaches, upset stomach, etc. It is not because a child is sick and unable to attend school, or other so-called "family" related matters.

An employer can require a written medical certification for any leave related to illness. The employer may also require a certification from a health care provider of the employee's ability to return to work, i.e., a fitness-for-duty release.

However, the government has placed very specific and strident restrictions on the entire certification process which employers must follow or forfeit their rights in this regard. See a human resource consultant or employment attorney with respect to this specific issue.

Informing employees about policy is a very important issue because the employer's rights depend on their advising employees of their obligations.

Covered employers are required to post the Department of Labor's notice. If an employer has any written guidance to employees concerning employee benefits or leaves of absence such as an employee handbook, information concerning the act and employee obligations must be included in the handbook or other documents.

If an employer does not have written policies or an employee handbook, it must still provide written guidance concerning rights and obligations under the act whenever an employee requests a leave or such information.

An employee must provide at least 30 days advance notice before leave is to begin. If 30 days notice is not possible, due to an emergency, notice must be given as soon as possible.

The above is only the tip of the iceberg. There are many issues not discussed here including substitution of paid leave, employee payment of benefits and intermittent leave.

The answers to the many remaining questions are not easy, but they are easy to obtain. Employees need to see their human resource department. Employers should phone their human resource consultant or employment attorney for assistance.

Geoffrey Glaser is an HR attorney and generalist with 25 years of experience and is a Human Resource Store associate. You can access him through our legal hotline, which is included in our package of Outsourced Human Resource Services, by calling us at 708-645-2530 24 hours daily.


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Last updated 06/18/07