.D(BX1BZSPMM#FOF¸UT .D(BXQBZSPMM!FZDPN'BY
26
SURYLGHU RI 0F*DZ¶V FKRRVLQJ LQ RUGHU WR YHULI\ WKH
LQIRUPDWLRQ SURYLGHG 0F*DZ ZLOO SD\ WKH FRVW RI WKLV
H[DPLQDWLRQ,IWKHUHVXOWVRIWKHVHFRQGH[DPLQDWLRQGL൵HU
IURPWKHRULJLQDOFHUWL¿FDWLRQ0F*DZ PD\UHTXLUH DWKLUG
H[DPLQDWLRQDJDLQDWLWVH[SHQVHE\DKHDOWKFDUHSURYLGHU
ZKLFKLVPXWXDOO\DJUHHDEOHWR0F*DZDQGWKH+RXVHVWD൵
%RWK0F*DZDQGWKH+RXVHVWD൵DUHREOLJDWHGWRFRRSHUDWH
LQVHOHFWLQJDVXLWDEOHKHDOWKFDUHSURYLGHU7KHUHVXOWVRIWKLV
WKLUGH[DPLQDWLRQZLOOEH¿QDODQGELQGLQJRQWKH+RXVHVWD൵
DQG0F*DZDVWRWKHFODVVL¿FDWLRQRIWKHOHDYH
:KHQD+RXVHVWD൵WDNHVOHDYHEHFDXVHRIKLVKHUVHULRXVKHDOWK
FRQGLWLRQ0F*DZPD\UHTXLUHWKHVXEPLVVLRQRIDGGLWLRQDO
FHUWL¿FDWLRQV SHULRGLFDOO\ GXULQJ WKH OHDYH 5HFHUWL¿FDWLRQV
RI WKH +HDOWK &DUH 3URYLGHU &HUWL¿FDWLRQ PD\ EH UHTXHVWHG
HYHU\ FDOHQGDU GD\V RU LI ORQJHU WKH VWDWHG GXUDWLRQ RI
WKHOHDYHXQOHVVWKHIDFWVDQGFLUFXPVWDQFHVGRQRWDSSHDUWR
VXSSRUWWKHRULJLQDO&HUWL¿FDWLRQRU0F*DZKDVLQIRUPDWLRQ
ZKLFK FDVWV GRXEW RQ WKHVWDWHGUHDVRQIRUOHDYH,QVXFKD
FDVHDUHFHUWL¿FDWLRQRIWKHVHULRXVKHDOWKFRQGLWLRQPD\EH
UHTXHVWHG DW DQ HDUOLHU SRLQW LQ WLPH 0F*DZ ZLOO SURYLGH
QRWLFHWRWKH+RXVHVWD൵RIDQ\UHFHUWL¿FDWLRQVZKLFKPD\EH
UHTXLUHG
INTERACTION BETWEEN FMLA AND OTHER PAID TIME OFF
+RXVHVWD൵ JUDQWHG )0/$ OHDYH PXVW ¿UVW XVH DQ\ DFFUXHG
VLFNGD\VEHIRUH WDNLQJ XQSDLGOHDYH+RZHYHUXVH RI SDLG
WLPHR൵ZLOOQRWH[WHQGWKHOHQJWKRIWKH)0/$OHDYHEH\RQG
ZHHNV ,Q DGGLWLRQ )0/$ OHDYH UXQV FRQFXUUHQWO\ ZLWK
DOORWKHUW\SHVRIOHDYHLQFOXGLQJZRUNHUV¶FRPSHQVDWLRQDQG
VKRUWDQG ORQJWHUPGLVDELOLW\)RUH[DPSOHIRUWKH ELUWKRI
DFKLOGKRXVHVWD൵DUHHQWLWOHGWRZHHNVRI)0/$OHDYH
0F*DZ0HGLFDO&HQWHUR൵HUVWZRZHHNVSDLGSDUHQWDOOHDYH
IRUDOOKRXVHVWD൵+RXVHVWD൵JLYLQJELUWKZLOOIROORZWKHVL[
ZHHNVSDUHQWDOOHDYHZLWKUHPDLQLQJVLFNGD\VSDLG#
RI VWLSHQG DQG VKRUWWHUP GLVDELOLW\ SDLG # RI VWLSHQG
IRU WKH QH[W VL[ ZHHNV IROORZLQJ GHOLYHU\ GDWH 6KRUWWHUP
GLVDELOLW\LVSDLGDWSHUFHQWRIWKHUHJXODU VWLSHQG$Q\UH
PDLQLQJOHDYHXSWRWKHPD[LPXPZHHNV ZLOOEHXQSDLG
9DFDWLRQWLPHPD\EHXVHGLQOLHXRIXQSDLG time or to sup-
plement short-term disability payments but will QRW H[WHQG
WKHOHQJWKRI)0/$OHDYHEH\RQGZHHNV
BENEFITS DURING FAMILY AND MEDICAL LEAVE
'XULQJDQDSSURYHG)0/$OHDYH0F*DZZLOOFRQWLQXHWR
PDNH DYDLODEOH WR +RXVHVWD൵ WKH VDPH LQVXUDQFH EHQH¿WV
ZKLFK DUH DYDLODEOH WR +RXVHVWD൵ QRW RQ OHDYH ,W LV WKH
+RXVHVWD൵PHPEHU¶VUHVSRQVLELOLW\WRFRQWLQXHWRFRQWULEXWH
KLVKHUSRUWLRQRI DQ\ LQVXUDQFH SUHPLXPVGXULQJOHDYH ,I
WKH+RXVHVWD൵PHPEHULVSDLGGXULQJWKHOHDYHSHULRGWKH
SUHPLXPZLOOEHGHGXFWHGIURPWKHSD\DYDLODEOH+RZHYHU
GXULQJ DQ\ XQSDLG SHULRG RIOHDYHWKH+RXVHVWD൵PHPEHU
LVUHVSRQVLEOHIRUPDNLQJWKHSUHPLXPSD\PHQWLQDWLPHO\
IDVKLRQ7KHIDLOXUHWRPDNHWLPHO\SUHPLXPSD\PHQWVPD\
UHVXOWLQWKHORVVRIEHQH¿WV
1R +RXVHVWD൵ ZLOO ORVH DQ\ DFFUXHG VHQLRULW\ RU EHQH¿WV
ZKLOH RQ OHDYH KRZHYHU DGGLWLRQDO VHQLRULW\ DQG EHQH¿WV
ZLOOQRWDFFUXHGXULQJDQ\XQSDLGIDPLO\RUPHGLFDOOHDYH
RETURNING FROM FAMILY OR MEDICAL LEAVE
+RXVHVWD൵ UHWXUQLQJ IURP )0/$ OHDYH VKRXOG ZKHUH
SRVVLEOHJLYH0F*DZDWOHDVWWZRZHHNVEXWQRWOHVVWKDQ
WZR ZRUN GD\V ZULWWHQ QRWLFH RI WKHLU LQWHQW WR UHWXUQ WR
DFWLYHVWDWXVLQWKHJUDGXDWHPHGLFDOHGXFDWLRQSURJUDP$Q\
+RXVHVWD൵ZKRUHWXUQVIURP)0/$OHDYHXSRQRUEHIRUHWKH
H[SLUDWLRQRIOHDYHZLOOEHUHLQVWDWHGWRDFWLYHVWDWXVLQWKH
JUDGXDWHPHGLFDOHGXFDWLRQSURJUDPZLWKHTXLYDOHQWEHQH¿WV
VWLSHQG DQG RWKHU WHUPV DQG FRQGLWLRQV +RZHYHU 0F*DZ
FDQQRW JXDUDQWHH UHLQVWDWHPHQW WR +RXVHVWD൵ ZKRVH OHDYH
H[WHQGVEH\RQG ZHHNVZHHNV IRU PLOLWDU\FDUHJLYHU
OHDYHLQDQ\PRQWKSHULRGH[FHSWWRWKHH[WHQWQHFHVVDU\
WRFRPSO\ZLWKDSSOLFDEOHVWDWHRUIHGHUDOODZ
,I D +RXVHVWD൵ LV RQ OHDYH EHFDXVH RI KLVKHU RZQ VHULRXV
KHDOWK FRQGLWLRQ 0F*DZ ZLOO UHTXLUH WKH VXEPLVVLRQ RI D
¿WQHVVIRUGXW\ FHUWL¿FDWH WR KLVKHU SURJUDP FRRUGLQDWRU
EHIRUH UHWXUQLQJ WR DFWLYH VWDWXV LQ WKH JUDGXDWH PHGLFDO
HGXFDWLRQ SURJUDP LI WKH DEVHQFH ZDV IRU PRUH WKDQ WKUHH
ZRUN GD\V $ ¿WQHVVIRUGXW\ FHUWL¿FDWH LV D GRFWRU¶V QRWH
VWDWLQJWKDWWKH+RXVHVWD൵LVQRZDEOHWRSHUIRUPKLVKHUMRE
DQGPD\UHWXUQWRDFWLYHSDUWLFLSDWLRQLQWKHJUDGXDWHPHGLFDO
HGXFDWLRQSURJUDP,ID+RXVHVWD൵PHPEHUIDLOVWRSURYLGH
D¿WQHVVIRUGXW\FHUWL¿FDWHE\WKHHQGRIDQ\PHGLFDOOHDYH
WKDWSHUVRQPD\QRWEHHOLJLEOHIRUUHLQVWDWHPHQW
FAILURE TO MEET POLICY REQUIREMENTS
,IDPHPEHURIWKH+RXVHVWD൵IDLOVWRPHHWWKHUHTXLUHPHQWV
RIWKLVSROLF\WKHUHTXHVWIRUOHDYHPD\EHGHQLHGRUGHOD\HG
XQWLO WKH UHTXLUHPHQWV DUH PHW ,I \RX KDYH DQ\ TXHVWLRQV
UHJDUGLQJWKHRSHUDWLRQRULQWHUSUHWDWLRQRIWKLVSROLF\SOHDVH
FRQWDFW0F*DZ3D\UROODQG%HQH¿WV