Coverage
True or False: MA PFML runs concurrent with other coverages under Federal, State and Company leaves.
What is True?
The claimant's eligibility is passed onto the claim through this document.
What is the Employer Statement? (known as the Eligibility Feed)
The ABS rules for MA PFML are split into MA Paid Family Leave, MA Paid Family Leave MCG and this 3rd rule.
What is MA Paid Medical Leave?
The weekly benefit amount is calculated based off of this.
What is the Average Weekly Wage?
The claimant is provided this number of calendar days to submit documentation requested to support their paid leave request.
What is 90 Calendar Days?
What are Insured, ASO, ATP?
The locations in DCMS where we can find the specific instructions regarding the employer email outreach that is sent requesting eligibility information.
What are Message Board and PDR Page 2?
The 3 leave patterns in which MAPFML may be taken.
What is the MA PFML Benefit Calc Tool?
The screen in DCMS where the claim manager applies the completed certification received.
What is the Medical Screen?
The 52 consecutive weeks beginning the Sunday immediately preceding the first day of MA PFML.
What is the Benefit Year?
What is the Absence Event?
The maximum individual leave bank for MA Paid Medical Leave per benefit year.
What is 20 weeks?
The screen in DCMS where the weekly benefit amount is entered.
What is the Paid Leave Coverage Screen?
Employers may elect to waive documentation for these 2 leave reasons.
Upon receipt of a complete claim, this piece of information must be entered on the PL Coverage Screen.
What is the Coverage Completion Date?
The screen in DCMS where we find the eligibility specific information, such as Date of Hire.
What is the Clmt/Emp Hx Screen?
The leave type under MA SPL for a Care of a Family Member claim.
What is MA Paid Family Leave?
We request these wages from the employer to calculate the AWW and benefit amount.
What are the last 4 completed quarters preceding the Sunday prior to leave start date?
When a completed late certification is received, this may apply.
What is the Late Filing Penalty? (90 days)
This is where we can look in DCMS to determine if there is an active MA PFML branch Prudential administers for this client.
What is PDR? (Open Plan)
Employees may continue to be eligible for MA PFML benefits this long after employer termination.
What is 26 weeks?
The MA State Standard amount of weeks allowed for pregnancy claims.
What is 6 weeks normal delivery and 8 weeks c-section?
The day status coding for the 7-day unpaid waiting period.
What is Approved/Waiting Period/None?
The process we follow if a certification is received and missing information.
What is the ABS Incomplete or Insufficient Medical Certification Process? (located in Sharepoint)