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The FMLA Process. Who is Eligible for FMLA Leave? 10/16/2013 MLA AND THE ADA PIECING TOGETHER OBLIGATIONS UNDER THE LAW. Eligibility Requirements

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(1)

MLA

AND THE

ADA P

IECING

T

OGETHER

O

BLIGATIONS

U

NDER

THE

L

AW

Robert J. Simandl, Esq. Simandl Law Group, S.C. 20975 Swenson Drive, Suite 250 Waukesha, WI 53186 (262) 923-8651 rsimandl@simandlhrlaw.com

2

The FMLA Process

• FMLA Policy

• Eligibility for FMLA Leave

• Employees’ FMLA Leave Entitlements • Notice Obligations for FMLA Leave • Health Care Provider Certification • Leave Options

• Returning to Work

• Employer’s Liability for Noncompliance

Who is Eligible for FMLA Leave?

Eligibility Requirements

–Federal Law

•At least 12 months of employment

•Worked at least 1,250 hours in the last 12 months –Wisconsin Law

•52 consecutive weeks of employment

•Paid for at least 1,000 hours of work in the last 12 months

(2)

4

How Much Leave Is an Employee

Entitled to Take?

Federal Law

12 workweeks total

–Birth, adoption or foster care placement of child or to care for child after birth

–To care for a parent, spouse, or child with a serious health condition

–Own serious health condition

–To address qualifying exigencies related to a covered service member’s call to active duty

•member of the reserve or regular component of the armed forces

–26 weeks of leave (in total) to care for an ill or injured covered service member

5

How Much Leave Is an Employee

Entitled to Take?

Wisconsin Law

–6 workweeks to care for a child after birth or adoption –2 workweeks to care for a parent, spouse, child or

domestic partner with a serious health condition –2 workweeks to care for the Employee’s own serious

health condition

These may be in addition to federal leave.

What is a “Serious Health Condition”?

Illness, injury, impairment, or physical or

mental condition that involves:

Inpatient care in a hospital, hospice, or

residential medical care facility; or

Outpatient care for a disabling condition which

includes continuing treatment by a health care

provider

(3)

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Serious Health Condition Elements

• Physical or mental illness, injury, impairment; • Requiring treatment by a health care provider; • Period of incapacity;

• The incapacity is for more than three consecutive calendar days and/or requires subsequent treatment; and • Involves treatment two or more times by a health care

provider (within 30 days), or at least one occasion that results in a regimen of continuing treatment

8

Is and Is Not a Serious Health Condition?

• Covered – Cancer – AIDS – Heart Conditions – Migraines – Pregnancy – Alzheimer’s – Stroke – Epilepsy

– Severe High Blood Pressure – Pneumonia – Severe Arthritis

– Back conditions Requiring Surgery or Therapy

– Emphysema

– Severe Psychological or Nervous Disorders • Not Covered – Ear Infection – Common Cold – Sore Throat – Flu – Headache

– Orthodontia Work/Routine Dental – Upper Respiratory Infection – Death of Parent – Food Poisoning – Minor Ulcer • Maybe – Chicken Pox – Asthma – Morning Sickness – Concussion – Broken leg/Sprained Ankle – Appendicitis – Injuries from Accidents – Surgical Procedure

Other Important Definitions

for FMLA Purposes

Parent: Biological parent of the Employee or

individual who stands or stood in loco

parentis to the Employee.

Examples:

» adoptive parent; » foster parent; » stepparent; » guardian;

» maternal or paternal grandparents; brother or sister.

(4)

10

Other Important Definitions

for FMLA Purposes

• Son/Daughter – child under 18 years of age or child 18 years of age or older incapable of self care (disabled within meaning of ADA). – Examples: » biological child; » adopted child; » foster child; » stepchild; » legal ward;

» a child of a person standing in loco parentis (i.e., a person with day-to-day responsibility to care for and financially support a child, even if no biological or legal relationship exists).

• Spouse – husband or wife as defined by state law for marriage purposes.

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Employer Notice Obligations

General Notice of Rights and Obligations

Include in the Employee Handbook

Include in some other written guidance (if

relevant)

By distributing a copy to each Employee upon

hire

Notice may be posted electronically

•Provided that all applicants and employees have

access to electronic information

Employer Notice Obligations

Designation Notice

Must inform Employee whether leave is FMLA

designated within 5 business days of receiving

information sufficient to make decision

Where possible, inform Employee of the number

of hours, days, or weeks to be designated

Eligibility and designation notice may be given

simultaneously if Employer has sufficient

information

(5)

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How Much Notice is required?

Employers have the right to advance notice in

accordance with the Company’s written

policy

10 days before leave is to begin

As soon as practicable (Employee shall make

reasonable effort not to unduly disrupt

operations)

For unplanned or unforeseeable leave, at least 2

days notice must be given after start of leave

14

When Notice is Received

“Calling-In”

A simple statement that the Employee is “sick”

without more is not enough to trigger FMLA

obligations

Notice of the need for leave must be sufficient

for the Employer to understand the need for

FMLA-protected leave

•However, a change in behavior may be enough to put Employer on notice

Health Care Provider Certification

If Employee takes leave for a serious health

condition

Timely return of certification

Right to Clarification for incomplete

certifications

Return within 7 days

Company may contact HCP to get required

information

(6)

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What Are an Employee’s Leave Options?

Intermittent/Reduced Leave

–Intermittent Leave-Leave taken in separate blocks of time due to a single illness or injury

–Reduced Leave-Leave schedules that reduce usual number of working hours per workweek or hours per workday

–Permitted for serious health condition when medically necessary. Not allowed for care of newborn unless Employer agrees

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What Are an Employee’s Leave Options?

Substitution

–Employers may require, or Employee may elect, substitution of any accrued paid vacation, personal or family leave for birth/placement or serious health condition of child, spouse or parent

–Employer may require, or Employee may elect, substitution of any accrued paid vacation, personal or medical or sick leave for any serious health condition leaves

–Other paid leave for disability periods where less than 100% of pay is received by Employee

Key Concepts Under the ADA

ADA makes it unlawful for an employer to

discriminate against a “qualified individual

with a disability”

(7)

WFEA and the ADA

The WFEA and the ADA both protect disabled

individuals from workplace discrimination. The

WFEA’s definition of disability is similar, but not

identical, to the ADA’s definition.

The definition of disability under federal law is

intended to be inclusive.

Under both State and Federal law, the focus will

be on accommodations.

Burden of Proof for Qualification Purposes Retained:

Employee has burden of proving that s/he is a “qualified

individual with a disability.”

ADAAA broadened definition of “disability”

Technical definition remains the same:

1. A physical or mental impairment that substantially

limits one or more major life activities; or

2. A record of such a physical or mental impairment; or

3. Being regarded as having such a physical or mental

impairment.

ADA Amendments Act

ADA Amendments Act:

Major Life Activities

HOWEVER, recall “disability” definition….

“physical or mental impairment that substantially

limits one or more major life activities…”

(8)

Old Definition

New Definition

Major life activities include, but were not limited to, caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating and working.

Major life activities also include operation of major bodily functions, including, but not limited to, functions of the immune system, normal cell growth, digestive, bowel, bladder, neurological, brain, respiratory, circulatory, endocrine, and reproductive functions.

Major Life Activities

Major Life Activities

The ADAAA’s non-exhaustive list identifies:

–Caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating and working.  The regulations add:

 “Interacting with others.”

The House Report also lists:

– Writing, engaging in sexual activities, drinking, chewing, swallowing, reaching and fine motor coordination.

Expanded Definition of Physical

Impairment

Any physiological disorder or condition,

cosmetic disfigurement, or anatomical loss

affecting one or more body systems, such as

neurological, musculoskeletal, special sense

organs, respiratory (including speech organs),

cardiovascular, reproductive, digestive,

genitourinary, immune, circulatory, hemic,

lymphatic, skin and endocrine.

(9)

“Substantially Limits”:

An impairment is a disability only if it

substantially limits a major life activity.

Now under the ADAAA a “substantial

limitation” of a MLA is:

Less than “severe” or “significant” but

Greater than “moderate.”

“Virtually Always” Disabilities

The regulations state that the following conditions will virtually always meet the definition of “disability”:

•Deafness • Epilepsy • Blindness • HIV infection • Intellectual disability • Multiple sclerosis • Missing limbs and mobility/wheelchair • Muscular dystrophy

use • Major depressive disorder • Autism • Bipolar disorder

• Cancer • PTSD

• Cerebral palsy • OCD • Diabetes • Schizophrenia

Although not required by law, these conditions should be considered “per se” disabilities.

ADA Amendments Act: Just Tell Me

What Qualifies as a Disability?

ADA Amendments list specific types of physical and

mental impairments that will “consistently” qualify as

disabilities under the ADA, including: deafness,

blindness, missing limbs, cancer, cerebral palsy,

epilepsy, HIV-AIDS, bipolar disorder, schizophrenia

(10)

ADA Amendments Act: Just Tell Me

What Qualifies as a Disability?

Episodic Impairment: an impairment that is

episodic or in remission. An “episodic

impairment” is a disability if it would

substantially limit a major life activity when

active.

Examples: depression, bipolar disorder,

Post-Traumatic Stress Disorder, other psychiatric

conditions, epilepsy, cancer

ADA Amendments Act: Just Tell Me

What Qualifies as a Disability?

Illnesses/ injuries likely to be ADA disabilities:

Diabetes

Hypertension

Heart disease

Cancer

Depression

Back impairments

Carpal tunnel

Accommodation

Under the ADA an employer must provide

“reasonable accommodation” to qualified individuals

with disabilities who are employees or applicants for

employment unless providing an accommodation

would cause the employer “undue hardship.”

(11)

Accommodation

Accommodation: “generally any change in the

work environment or in the way things are

customarily done that enables an individual with a

disability to enjoy equal employment

opportunities.” 29 C.F.R. Section 1610.2(o).

Accommodation: “A reasonable accommodation

is a modification or adjustment to a job, the work

environment, or the way things are usually done

that enables a qualified individual with a disability

to enjoy equal employment opportunity.”

Accommodation: Requests for

Accommodation

An employee may use “plain English” and need

not mention the ADA or use the phrase

“reasonable accommodation” when requesting an

accommodation.

Any time an employee indicates s/he is having a

problem at work and the problem is related to a

medical condition, consider whether the

employee is making a request for

accommodation.

Requests for accommodation?

Example 1: Employee tells supervisor, “I’m having trouble

getting to work at my scheduled starting time because of

medical treatments.”

Example 2: Employee tells supervisor, “I need six weeks

off to get treatment for my back problem.”

Example 3: A new employee, who uses a wheelchair,

informs the employer that her wheelchair cannot fit

under the desk in her office.

(12)

Request for accommodation?

Example 4: An employee tells supervisor, “I would like a

new chair because my chair is not comfortable.”

Example 5: An employee who has been out for six

months with a workers’ compensation injury. The

employee’s doctor sends employer a letter stating that

the employee is released to return to work, but for light

duty only.

Accommodation

Accommodation:

Interactive Process

• Generally, employee must come forward and notify employer that s/he has a disability (BUT employer’s knowledge can be constructive).

• Employer must engage in an interactive dialogue with employee to identify an accommodation to provide (unless accommodation would result in an undue hardship to employer).

• Employer can only refuse to accommodate an employee when “each available alternative” has been explored and cannot be done.

• Employer does not have to provide employee with the accommodation favored by the employee, only has to provide a “reasonable accommodation.”

Employee requests a change at work due to a medical

condition (i.e., notice).

Employer obtains permitted medical documentation

about the condition.

Employer evaluates whether employee is a qualified

individual with a disability.

Employer meets with the employee to:

a. Identify/verify the need for accommodation

b. Identify possible accommodations

c. Evaluate the identified accommodation

possibilities

Accommodation:

Interactive Process

(13)

Accommodation:

Interactive Process

Meeting should include HR and Operations personnel

Questions to clarify accommodation requested:

What specific accommodation are you requesting?

If you are not sure what accommodation is needed, do

you have any suggestions about what options we can

explore?

Is your accommodation request time sensitive?

Accommodation:

Interactive Process

Questions to document the reason for accommodation request:

–What, if any, job function are you having difficulty performing? –What, if any, employee benefit are you having difficulty accessing? –What limitation is interfering with your ability to perform your job

or access an employment benefit?

–Have you had an accommodations in the past for this same limitation?

–If yes, what were they and how effective were they? –If employee is requesting a specific accommodation- how will

that accommodation assist you?

Catchall question: Can you provide any additional information that

might be useful in processing your accommodation request?

What is NOT a “reasonable” accommodation?

Employer does not have to eliminate an essential

function of the position. (i.e. fundamental duty

of the position). This is because a person with a

disability who is unable to perform the essential

functions with or without a reasonable

accommodation is not a “qualified individual”

within the meaning of the ADA.

Employer does not have to lower production

standard standards that are applied uniformly to

(14)

Workplace Accommodation Obligations

Arose Under:

Federal and Wisconsin FMLA

Workers Compensation Laws

Americans with Disabilities Act, as amended

(ADA)

Wisconsin Disability Law

Also need to consider the Genetic Information

Nondisclosure Act (GINA)

Accommodation Issues under

ADA and FMLA

ADA:

Requires reasonable accommodation.

FMLA:

 Requires 12 weeks leave;

 Cannot compel employee to return via

implementation of reasonable accommodation; and

 Must return employee to same job.

Workers’ Compensation Leave:

Reemployment Right, including alternative positions.

FMLA Obligations

Scenarios:

Personal Illness or Injury

Work-related Illness or Injury

Intermittent/Reduced Leave For Either

8/40 Restrictions

Collectively Bargained Employee – CBA Interface

•Equalization of OT •Seniority •Absence restrictions •“scheduled” work hours

(15)

FMLA Obligations

Accommodations for Absence – Employee

Full-time Leave

Intermittent Leave

Reduced Leave Schedule

Where do 100% healed rules fit?

Call-in obligations

Administration period

• ADA has no set rules or standards regarding length of leave. • ADA does not say that you must hold a job open while

employee is on leave. EEOC thinks you should hold position open unless it constitutes an “undue hardship.”

• EEOC is pursuing companies that have inflexible rules about length of leave.

• Many courts have held that indefinite leave is not “reasonable accommodation,” so no duty to provide. • Employers should make a “reasonable determination” on

the amount of leave to be provided- consider importance of position, job duties, etc.

Accommodation:

Leaves Of Absence- How Long?

Leave of Absence Factors

• Has the Company fully complied with FMLA? • Does the company have a non-FMLA LWOP policy? • How much leave has the employee already taken? • Is the request for a specific amount of time, open-ended, or

somewhere in between?

• How is the job being performed now? Is that less or more expensive than if the employee were working?

• Is there anything on the business’s operational calendar impacting the ability to grant leave?

• What other employees have been granted leave in this department in the last few years?

(16)

Accommodations

Is an accommodation possible?

Does the accommodation create an undue

hardship?

Employers must show undue hardship even if

employee’s requested accommodation is a

leave of absence above and beyond FMLA.

Wisconsin and federal analysis is the same.

ADA Obligations

Wisconsin Disability Law

Individual who has physical or mental

impairment that makes achievement unusually

difficult or limits the capacity to work;

has a record of such an impairment; or

is perceived as having such an impairment.

ADA Accommodation Issues

Conduct the FMLA analysis first, if eligible.

–FMLA will usually be more generous regarding intermittent leave and reinstatement rights.

When accrued leave and any FMLA rights are

exhausted, if the employee wants/needs more leave,

you need to do an ADA analysis.

–If an impairment goes more than 12 weeks (or not?), it may well be “substantially limiting” under the ADAAA.

Focus on whether extended leave, reinstatement to a

light duty position or other accommodations are

“reasonable.”

(17)

…and What About Workers Comp?

FMLA concurrency

ADA covered absence

Permanent restrictions

“Severing” Employment

Return to work

CBA

Job preference

Union involvement

QUESTIONS??

References

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