State Program Nuances
What state has a waiting period for bonding (non-birthing) claims?
Massachusetts
How many EE's does a client need to have to be FMLA eligible?
50 employees
What 3 states have dual claim forms with Guardian?
NY, NJ, HI
What must the client do to initiate a leave?
Emails LOA packet request form
Does an LOA Coordinator fill out the CA EDD form for a client?
Yes
What state does not coordinate their benefits with Guardian STD?
Washington DC
How many hours must an EE work to be eligible for FMLA?
1250 hours
Where in Prism can you find the STD coverage effective date?
Actions>Benefit Overview>find Guardian STD>coverage start date
Who does the client return the wage deduction form to?
LOAS or the HRBP (if not live)
What leave details must be known to begin a workbook?
LOA type, waiting period, wage coordination/LOA pay, pay approach, and LOA start date
Whats the tenure req for NY PFL?
26 consecutive weeks
How long must an EE be employed to be eligible for FMLA?
12 months
What states specifically state the allowance of pre-birth disability?
CA CO NJ NY CT RI
What leave materials need to be created/sent to the client?
LOA reference guide, request for leave of Absence form, Wage deduction Form, Advance loan repayment form
What is the difference between a 100% LWP versus a top off estimation pay?
100% LWP = client paying regular salary during leave, Top off pay = salary payments reduced by any state or Guardian benefits
Which of the 13 states with benefit programs pay on a 5-day week basis?
7 states - CO, CT, MA, NY, OR, WA, DC
What types of employees does FMLA apply to?
Full-time, Part-time, and seasonal employees
Can an employee meet the 7-day waiting period on an intermittent/part-time basis for STD and is there a cap on their weekly earnings?
Yes, as long as the EE doesn’t exceed earning 80% of their weekly base salary.
What should be checked before approving a reactivation?
Benefit deductions, and if they stop PTO accruals
In a LOA workbook, how do you determine the estimated top off pay?
It is the Total leave pay anticipated minus any estimated Disability and/or PFL payments