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1. 1 New Process for Disability Management Presentation to
RIT Employees
By Human Resources
June, 2006
2. 2 2005 – Focus on Disability Plan Design
Effective July 1, 2005:
Improved short-term disability plan
Introduced cash-out for unused sick leave for nonexempt employees
Replaced sick leave with salary continuation for exempt employees
Grandfathered existing sick leave banks for all employees who had them on July1, 2005
3. 3 2006 – Focus on Disability Management Process Effective July 1, 2006:
Unum Provident (UNUM) will provide expanded disability management services
Unum is our carrier for short and long-term disability, as well as RIT’s life insurance program
Employees will call Unum’s toll-free number to report absences (TTY available)
Employees will still notify supervisor when absent
Unum will coordinate paperwork with employee and physician to certify disability
Unum will determine which absences qualify for designation under Family & Medical Leave Act of 1993 (FMLA)
4. 4 When Will Employees Call Unum On the 1st day of absence:
For chronic illness (yours or a family member)
For intermittent leave, including partial days, due to a serious health condition (yours or a family member)
To care for your newborn child, or your newly placed adopted or foster care child.
By the 3rd day of continuous absence:
For your own disability or workers’ compensation
To care for a family member with a serious health condition.
* Workers compensation absences will be reported to
but not managed by Unum
5. 5 Advantages for Employees More seamless and centralized process
Removes HR and supervisor from middle
Live person available 8AM-8PM Monday-Friday
Quicker processing of benefits
Ensure accuracy and consistency of FMLA designations & recordkeeping
Responsibility for designating FMLA absence will move to a neutral 3rd party
Confidentiality of personal information
Remove manager responsibility for recordkeeping
6. 6 FMLA Basics Provides job protection to eligible employees for absence from work due to specified family & medical reasons.
Eligibility
Full and part time faculty & staff
Worked at least 1,250 hours during the 12 months preceding the leave
Completed 12 months of employment at RIT
Excludes student employees and adjuncts
7. 7 FMLA Basics, cont. Up to 12 work weeks of unpaid leave during a 12 month period
Paid leave substituted for unpaid leave (both run concurrently) – e.g. sick leave, salary continuation, STD, Workers’ Compensation, vacation.
8. 8 FMLA Basics, cont. Qualifying reasons for FMLA leave:
Care of employee’s newborn child (within first 12 months following birth)
Placement of child with employee for adoption or foster care (within first 12 months following event)
Care of employee’s spouse, child or parent who has a serious health condition
Inability of employee to perform one or more essential functions of their own job due to employee’s own serious health condition
9. 9 State Leave Laws Bone Marrow Donor Leave
24 work hours of leave
Seek or undergo a medical procedure to donate bone marrow
NY Witness or Victim Act
Amount of leave is not specific
Appear as a witness, consult with DA, exercise legal rights in connection with criminal procedure law or Family Court Act.9
10. 10 Leave Types/Frequency Full
Leave that is continuous (e.g. 12 consecutive weeks)
Reduced
Schedule of leave that reduces the number of hours an employee works daily or weekly
Intermittent
Leave taken periodically and may be taken in increments as low as 1 hour.
11. 11 Certification: Serious Health Condition Six Serious Health Condition Categories under the FMLA
Hospital Care
Inpatient care
Includes a period of incapacity and subsequent treatments
Example: Overnight stay in a hospital
Absence Plus Treatment
Greater than 3 consecutive days of incapacity
Plus treatment twice or once with a regimen of continuing treatment
Example: Flu – if it meets the above requirements
12. 12 Certification: Serious Health Condition
Pregnancy
Period of incapacity due to pregnancy (severe morning sickness)
Prenatal care appointments
Chronic Conditions Requiring Treatments
Periodic visits for treatment
Continues over an extended period of time
May cause periods of incapacity
Examples: Asthma, diabetes, migraines
13. 13 Certification: Serious Health Condition Permanent/Long-Term Conditions
Permanent/long-term period of incapacity due to a medical condition
Continuing supervision of health care provider but need not be receiving active treatment
Examples: Alzheimer’s, severe stroke
Multiple Treatments
Absence to receive treatments and recovery
Restorative surgery after accident/injury or condition that results in incapacity greater than 3 days without treatment
Examples: chemotherapy, dialysis
14. 14 FMLA & STD Eligibility FMLA STD
12 months service All employees
1250 hours worked in 12 months
Unpaid Leave Paid Leave
Federal Job Protection No federal job protection
Maximum 12 weeks in rolling Maximum 180 consecutive
12 month period days (transition to LTD)
Family or Medical Leave Medical leave only
15. 15 FMLA & STD Requirements FMLA STD
Requires completion of medical Requires specific medical
certification form by physician. information, such as:
Does not identify specific test results
medical information. diagnosis
treatment plans
If an employee is approved for If an employee is not
STD, FMLA will be approved for STD, they are
automatically approved based given the opportunity to
on the STD information. provide certification to
support their need for leave
under the FMLA.
16. 16 Employer Obligations FMLA
Notify the employee of their FMLA rights within 2 business days of becoming aware of the possible need for leave.
Notify the employee when time is being counted under FMLA.
Return employee to same or equivalent job upon return from leave.
FMLA time is not included when taking disciplinary action for absences.
17. RIT’s Disability Management Program
18. Integrated Intake Overview
19. 19 The RIT Disability and Leave Management Line at UnumProvident
20. 20 The RIT Disability and Leave Management Line at UnumProvident
21. 21 Leave/Claim Intake Process
22. 22 Leave/Claim Intake Process
23. FMLA/State Leave Management Process
24. 24 FMLA/State Leave Management -Initial Response to Request for New Leave Within 2 business days of the leave request, the Leave Management Center will mail a packet to the employee containing:
Notice of eligibility / ineligibility for FMLA / State leave
For FMLA, this is based on length of employment and number of actual hours worked
FMLA Rights & Responsibilities
If eligible:
Conditions of leave and employee obligations
Medical Certification form if applicable
Authorization form
25. 25 FMLA Certification Timeline for absences NOT being processed for disability Day 1 - Report of disability claim or family / medical leave
Certification is due 15 days from the date of request
Day 16 - Certification Reminder letter sent to employee if certification not submitted
Certification due date extended 7 calendar days
Day 23 - FMLA / State leave denial letter sent to employee if certification not submitted
Incomplete certifications received are returned to employees with a certification due date extension
Certification due date extended 7 calendar days from original due date or 10 calendars days from the date of incomplete letter, whichever is greater
26. Employee Responsibilities
27. 27 Employee Responsibilities Contact UnumProvident immediately to report family/medical leaves or Disability claims at 1-800-605-2802 (TTY# 1-800-887-2180).
Notify supervisor of leave request
Supply requested certification to UnumProvident within specified timeframes
Provide UnumProvident with signed copy of Authorization to Release Information (disability claims only)
Maintain periodic contact with UnumProvident and supervisor while on leave
Notify UnumProvident and supervisor of any changes in return to work status or date