FMLA Eligibility
Mystery Topic
Serious Health Condition
HCPC Review
Pregnancy
100

An employee must complete ___ hours of service in the month preceding the leave.

1250

100

What statements are true about FMLA and STD?

 

1. FMLA is federal legislation.
2. FMLA is unpaid job and benefits protection. 

3. STD is partial or total wage replacement.
4. STD is a voluntary contract with an employer.

100

Brooke was out of work from 6/2/2021-6/30/2021 due to plantar fasciitis. She saw her physician on 6/5/2021 and 6/19/2021. Has she met the definition of SHC for incapacity and treatment?

Yes

100

LaToya submits medical documentation for an intermittent leave. What is the category of documentation?

  • The AP certifies a frequency and duration of 1 time per month for 1 day and signed the form.
  • LaToya visits the AP 4 times per year for her migraine condition.
  • She has already reported missing 07/06/21, 07/09/21, and 07/13/21 at the time the CHCP is received

Clarification

100

Ericka requests the full time available for bonding. What FMLA dates will you approve for Pregnancy incapacity?

FDA: 1/13/2022

Del: 1/13/2022

PP Recovery: 8 wks

1/13/2022-3/9/2022

200

Joe requests a new leave, and his hours worked in the past 12 months are unknown.

What should you do?

Email the ER daily for up to 5 business days or until verification received

Send eligibility notification based on what eligibility information indicates, if information not received by day 5

200

Evelyn works in New Jersey, and she requests a leave to care for her mother-in-law. Is this a qualifying relationship? Select two answers.

Not qualifying under FMLA

Qualifying under NJ Family Leave Act

200

Shia was out of work 4/2/2021-4/4/2021 RTW 4/5/2021. She went to the AP on 4/1/2021 after work and was diagnosed with bronchitis, prescribed an antibiotic and will not see the AP for a follow up visit. Which SHC has she met?

Incapacity and treatment

200

Thomas submits signed medical documentation for his intermittent leave. What is the category of documentation?

  • The AP provides a frequency and duration of “unknown.”
  • Vincent visits the AP 2 times per year for his asthma condition.

Insufficient

200

Ann calls the CCC to request an accommodation.

Disability: pregnancy / no longer disabled

Accommodation: additional time for baby bonding now that FMLA has exhausted

What is the request type of this ADAAA accommodation?

Not qualifying for ADAAA

300

Mari requests a new leave, and her hours worked in the past 12 months are unknown.

It is now day 5, and you have not received a response from the employer despite emailing daily for the hours worked.

What should you do?

Send eligibility notification based on what eligibility information indicates

300

Natalie requests leave to care for her spouse who was injured at war while service for our country. What is the maximum duration of leave Ava can take in a 12-month period?

26 weeks


300

Anike is out of work intermittently for migraines starting 06/12/19. She was treated by her doctor on 02/04/19 and 06/12/19. She was prescribed medication, and she has a follow-up appointment scheduled for 09/16/19. What Serious Health Condition does Willow meet?

Chronic Conditions

300

Garrett submits signed medical documentation for his intermittent leave. What is the category of documentation?

  • The AP provides a frequency and duration of “unknown.”
  • Vincent visits the AP 2 times per year for his asthma condition.

Insufficient

300

Lindsey works in Washington. What leave(s) is she eligible for?

DOH: 12/09/20

Hours Worked: 608

DOD: 04/08/21

Delivery Date: 04/15/21

Incapacitated: 04/08/21 – 05/26/21

WA Pregnancy Disability Leave


400

Has Ellen met the hours worked requirement?

Regular hours: 1,000

Overtime: 290

Holiday Pay: 32

PTO: 82

Sick Pay: 14

Yes

400

Jordan has a continuous leave for care of a child which began on 03/07/19. Assuming that she had no prior leaves, when will she exhaust her FMLA time available?

05/29/19

400

Which of these does treatment include? 

1. Robitussin

2. Advil

3. Tums

4. Antibiotics

Antibiotics

400

Abby requests STD and leave for her own condition. A nurse completes the intake, expedites the claim, and writes a clinical impression that supports a duration of 4 weeks. Amber is not eligible for STD, but she is eligible for FMLA. What should you do?

Approve the leave for 4 weeks

400

Kara is out on a pregnancy leave. She went out of work on 8/7/2021 and delivered on 11/6/2021. She had a NVD and is allowed 6 weeks post partum. What will be the approval dates for pregnancy incapacity and the approved dates for bonding?

Pregnancy incapacity: 8/7/2021-10/29/2022

Bonding: N/A - exhausted

500

Sam lives in Wisconsin and requests a new leave for her own condition. She has worked for her employer for 2 years and has 1,000 hours. We handle both FMLA and state leaves for the employer. What leaves is she eligible and what letters will you send after completing the initial triage task?

WI FMLA

Mixed Prelims

500

Leave Approved: 03/05/21 – 03/04/22

F/D: 1 time per month for 1 day

Approved Dates: 03/05/21, 04/13/21, 05/05/21, 05/10/21

Nakisha reports new intermittent dates. What should you do?

Dates Reported: 05/13/21, 05/14/21, 06/02/21

Reason: condition has worsened, requiring higher F/D

Require recertification for all dates going forward

500

How is incapacity defined?

Inability to work, attend school or perform regular daily activities

500

Alex has a pending intermittent leave with the following dates reported:

• 01/04/21

• 01/12/21

• 01/15/21

You do not receive a CHCP by day 15. What dates should you deny?

Today: 01/26/21

Certification Deadline: 01/25/21

Grace Period: no

Late Med Policy: cover all absences back to day 1

All dates reported

500

Dominique files a leave for maternity. She goes out of work on 2/11/2019 and delivers NVD on 4/16/2019. She lives in California - what dates will we approve for FMLA pregnancy, FMLA bonding, CA PDL & CFRA?

FMLA Preg: 2/11/2019-5/5/2019 (FMLA exhausts)

FMLA BB: N/A - exhausted

CA PDL: 2/11/2019-5/27/2019 (4 months max)

CFRA: 5/28/2019-8/19/2019 (12 weeks)