Family Medical Leave Act (Fmla) And Oregon Family Leave Act (Ofla) Forms Packet, Form Cd 1422 - Employee Medical Status Report Page 9
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12Going out on medical leave
We understand that you may be going out on medical/extended leave at this time. There are a few
things surrounding your benefits and pay that we would like to bring to your attention.
FMLA and OFLA are not optional. The laws require the agency to provide these entitlements.
1. Use of sick and vacation leave.
a.
If going out under FMLA and short term disability (STD) you may decide the type
of leave usage. You can choose to use paid or unpaid leave, and decide when use
of paid leave begins. Once you have started using paid leave, each leave must be
used in a block until exhausted and there cannot be breaks in time between leave
types.
b. Once in unpaid leave (LWOP), you cannot go back and use any paid leave, unless
you are covered under FMLA.
c. Use of sick leave is reported to Standard Insurance for the short term claim.
Standard will evaluate your wages and pay you the difference between a regular
week’s wages and what you have received. If you have sick leave for the full week,
Standard will pay a minimum of $25.00 per week.
d. Use of vacation, personal business, compensatory time are reported to Standard,
but are not included in their payment calculation. You will receive a full check from
Standard.
e. You may choose to bank (save) some leave time as allowed per your bargaining
agreement. If banking or saving paid leave, you will not be eligible for Hardship
Donations.
2.
Use of Short/Long Term Disability
a. If using short term disability, you will want to start the claim as soon as possible.
You can start a claim by calling The Standard at 800-842-1707. DOC will complete
their portion of the report when we receive notification from The Standard.
b. The first seven days are not paid; this is Standard’s evaluation time. If the claim is
due to an accident, Standard will pay from the first day. Once the claim has been
accepted, they will pay on a weekly basis.
c. What Standard pays you is based on what pay, if any, you receive from DOC.
i. If you are receiving wages from DOC for payment of sick leave, Standard
will only pay a percentage of the week, with a minimum of $25.00,
depending on use of sick leave.
ii. In order for The Standard to pay you the full amount, you must be using
leave other than paid sick leave or be in LWOP.
d. Long Term Disability, if enrolled, will automatically follow STD. If you have chosen
the 180 day waiting period for long term disability, you will have at least a 3 month
gap before long term disability becomes effective and short term disability ends.
e.
There is no need to complete separate forms after short term disability ends. The
Standard will request specific information as needed.
3.
Hardship Donations
a. Hardship eligibility is reviewed and approved by Human Resources if you qualify.
Other employees may donate vacation time, which will be converted to sick leave
for you to use, or cover insurance premiums. There is no guarantee the full request
will be met or all of the leave time covered.
Created by Payroll/FMLA
Payroll Unit
Updated: 07/01/15
Fiscal Services
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