February 3, 2017
NAME
TITLE
ADDRESS OR DEPARTMENT
Subject: Family Medical Leave (FMLA) – Family Member’s Health Condition
Dear NAME:
Please find attached the University of Minnesota’s Family and Medical Leave Act (FMLA): Notice of Eligibility and Health Certification forms. Your current leave may qualify you for coverage under the FMLA.
For FMLA to apply to this leave, please return these documents as soon as possible, but no later than DUE DATE (15 days hence).
If you feel that your current leave may qualify, ask your healthcare provider to complete the enclosed certification form and return it to CONSULTANT:
Mail: ADDRESS
Fax: NUMBER
Below, is a brief overview of how relevant UMN Policy and FMLA work alongside one-another.
· Further FMLA information is available on the UMN, Office of Human Resources website: http://policy.umn.edu/hr/fmla
· Relevant Bargaining Unit and UMN policy information is also available on the UMN, HR Website: http://humanresources.umn.edu/union-relations/contracts
FMLA provides:
1. 12 workweeks (480 hours if intermittent) of leave each fiscal year.
2. Job protection (return to same or equivalent position)
3. Unpaid leave
4. Maintenance of health plan coverage* with the same conditions as if employee had been working during the leave period
*If you enter a time under FMLA when you no longer receive a paycheck, you will receive an Invoice for your health plan Premium which is normally deducted from your paycheck.
UMN Policy provides:
Paid time - Under U of MN policy your paid leave is concurrent with FMLA and is to be used in the following order: Sick, Compensation, and Vacation (some variations allowed, discuss with HR).
1. Use your accrued sick time up to the amount defined by your Bargaining Unit contract.
2. After 10 sick days, you must use available compensation time and vacation down to 10 days. (You may choose to save 10 vacation days)
3. Use UNPAID time AFTER your paid-leave is exhausted. Additional provisions for unpaid time can be found under Leaves in your employee group contract.
a. During FMLA if you use unpaid time for an entire pay period you will not receive a check and will therefore be billed for your Healthcare Insurance Premium - your portion only - which is normally deducted from each paycheck.
b. After FMLA if you enter unpaid time for an entire pay period you will be billed for the full cost of your Healthcare Insurance Premium.
Payroll & Leave Time
· Utilization of your paid leave time is mandated by policy, as outlined above, except that you may choose to reserve up to 10 days of accrued vacation.
· Please work with your Supervisor SUPERVISOR and HRIS (Payroll & Leave) CONTACT NAME to submit your timesheet.
· A separate email with time keeping instructions will follow.
I know this is a lot of information, if you have questions, please do not hesitate to contact me or CONSULTANT.
Best,
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