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Let The Challenge Begin!
And the Secret Ingredient is … PERSERVERENCE
Meet Scott, Head Chef During annual review, Scott claims migraines caused all ‘alleged’ problems Also tells you…  Onset unpredictable, triggered by stress  Results in yelling and rudeness More likely at end of the week Duration varies, generally 6 hrs Medication makes him anxious and unpredictable
        The Challenge is On … Mind racing, you search your memory for ‘buzz’ words & dig out your seminar notes FMLA – Serious Health Condition (SHC) Chronic condition Intermittent leave  ADA – can he perform Essential Functions Substantially limited in major life activity Interactive process and realistic options Direct threat
What Now? Is Scott covered by FMLA? 12 months // 1250 hours If so, do we have notice? Specific condition, chronic nature, current problem, will cause need for leave when occurs Within 5 business days of notification of need   Rights & Responsibilities and Eligibility Notice (WH-381) and Medical Certification (WH-380-E)
     15 Days Later … 3. …Is the employee unable to perform any of his job functions due to the condition: ____ No __x__ Yes.  If so, identify the job functions the employee is unable to perform:Can’t work 7. Will the condition cause episodic flare-ups periodically preventing the employee from performing his/her job functions? ____ No     __x__ Yes.
     15 Days Later … (7)Is it medically necessary for the employee to be absent from work during the flare-ups? __x__ No __x__ Yes. If so, explain:Depends onseverity. (7)Based upon medical history and the medical condition, estimate frequency of flare-ups and duration of incapacity over the next 6 months: Frequency: _1_ times per _x_ week(s) month(s) _x_.  Duration: _2-12_ hours or ___ day(s) per episode.
Notice of Deficiency New tool – Insufficient or Incomplete 3: which job functions cannot be performed 7: is time off medically necessary during flare-up* 7: frequency unclear due to conflicting information Must provide written notice or use WH-382 7 calendar days to cure Leave can be denied if not cured
     7 Days Later … 3. …If so, identify the job functions the employee is unable to perform:All 7. Is it medically necessary … absent from work during the flare-ups? __ No _x_ Yes. If so, explain:Severe migraines cause personality changes and medication causes drowsiness making it unsafe for Scott to work. Based upon medical history and the medical condition, estimate frequency of flare-ups and duration of incapacity over the next 6 months: Frequency: _ times per _from 1 day perweek(s)to once permonth(s) __.  Duration: _2-12_ hours or  __ day(s) per episode.
 Cross-Roads Deny certification as not supporting leave Second Notice of Deficiency  Within 5 business days, accept Certification and designate leave (WH-382) Accept and initiate direct contact to HCP to authenticate and clarify
  Second Opinion? Only opportunity to request (WH-382) Genuine concern about legitimacy? At employer cost If not, time to designate (WH-382) Consider Fit for Duty due to safety concern
Fit for Duty Certification Every occurrence, unless less than 30 days from last one Significant safety risk Doctor’s clarifying words  Scott’s statement during review Like ADA Direct Threat standard Consider using form for physician and job description as tools
Fast Forward … Scott misses 3 Friday & 4 Saturday shifts in 2 months Called right before, claiming he wants FML for his headache You scramble to find coverage and end      up cooking  Rumor has it that Scott is also working      at another restaurant that pays more
      What Questions Can We Ask Does Scott qualify for leave? Which essential function can’t Scott perform Why does he needs entire shift off What is the medical necessity justifying absence Was notice given as soon as practicable How long will Scott be on leave
  What Tools Can We Use Normal & Customary attendance procedure Call-In Policy: Who, How, When, What Shared Consequences for non-compliance FML may be denied for inadequate notice Disciplined for failure to follow policy
Periodic Reports Can require employee to initiate contact Purpose is to confirm … Still has need for leave Still has intent to return Reasonable intervals
Personal Certification Policy I, _____, certify that my absence on ______ was due to the reason stated in the Medical Certification I submitted to the Company on ___ in connection with my Family Medical leave.  I understand that absence taken due to the serious health condition set forth in the Certification will be counted against my leave entitlement under the FMLA and Company policies.  I also understand that providing false or misleading information about my absence will result in disciplinary action, up to and including immediate termination.
Moonlighting Policy Consider limited policy focused on  misuse of leave Be clear about prohibition against working second job while on FMLA leave Gather evidence of violation if taking disciplinary action - consider using 3rd party or photos, as standard is honest belief of misuse
Recertification Every 6 months for continuing/open-ended condition or sooner if duration finite Also available when information/events cast doubt on employee’s stated reason for leave Pattern of absence Working second job (if confirmed) Contact health care provider to describe possible inconsistent conduct concern
  Bonus & Financial Motivators If based on attendance goal and consistent with all types of leave, counting permissible OFLA counting is NOT permissible Can also focus on hitting key objective targets Labor costs Gross profit Number of customers, positive reviews, etc.
Sick Leave Limitation Employer can require paid leave run concurrently Requiring use of vacation time/PTO is deterrent Narrow scope of sick leave to ‘employee only’  Consider requiring employee to stay at home during sick leave unless otherwise approved Requiring medical support for sick leave pay Beware of Doctor’s Excuses! or similar companies
1 Hour Minimum Regulations allow counting of leave in units up to 1 hour Must use same unit for all leave programs Does not impact obligation to pay for time worked if less than 1 hour of leave used
Lessons Learned Thoughtful Procedure is Key Review certification and identify deficiencies Consider clarification if questions still exist If question legitimacy, second opinion option In designation process, remember fit for duty Ensure employee’s notice fits certification
Lessons Learned Adopt Call-In Policy Require Reasonable, Periodic Reports Personal Certification Upon Return Recertification if Questionable Use Bonus Incentive – Attendance/Performance Consider Limited Sick Leave Benefit Count in 1 Hour Minimum Blocks Designate Every Time
Home Team – 1 Challenger – 0
About That Behavior Problem … You pick up the paper and see this picture on the front of the Food & Lifestyle Section Scott tracked down a food critic at home, and  gave a review of his own Scott claims his migraine made him do it and it was off-work behavior
 Do We Ignore or Discipline Can we discipline for off-duty conduct? Is there a policy that has been violated? Is Scott covered by the ADA? Do we need to ignore conduct as a reasonable accommodation?
Is Scott Disabled? Three pronged definition of disability: Physical / mental impairment (including episodic) that substantially limits 1 or more Major Life Activities* Record of such impairment Regarded as having such
Coverage Questions Is Scott qualified individual … Can he meet the regular and dependable attendance standard that is an essential function What is/are the major life activities … Working Thinking Interacting with others Is Scott substantially limited when condition active... Maybe, No, Probably
  Accommodation Steps Identify EJF that require accommodation Identify accommodations to reduce and/or remove barriers and increase productivity Determine cost and effectiveness of accommodations identified  Implement accommodation that is most appropriate with least economic hardship
  In the Case of Migraines Reduce migraine triggers … Lighting changes Noise reduction strategy Fragrance elimination Consistency  Allow recovery from episode …  Time off or quiet, dark place to rest Telework JAN is excellent source for exploring options
 What is Not Required Changes to Qualitative or Quantitative Standards Elimination of Essential Functions Changes that Create Undue Hardship Expensive Disruptive Eliminates reasonable conduct rules
The Choice Reasonable Options Explore reducing stress triggers Allow time off so long as call-in rules, etc. are followed Suspend some non-essential functions and re-evaluate periodically Unreasonable Options Telework Allow any requested scheduling change without notice Eliminate Essential Functions or provide assistant Overlook rule violations
No Matter What, No More of This!
Documentation Identify what assistance Scott may receive Clarify process for obtaining help or leave Document interactive process and Scott’s agreement to conclusion Confirm accuracy of current job description Obtain agreement to conduct and performance standards going forward, status of disciplinary process, and consequences for non-compliance
Lessons Learned Ensure job descriptions have behavior- & attendance-focused essential functions Provide clarity about quantitative and qualitative standards and expectations Identify appropriate accommodations to assist with removal of barriers Documents agreements, current status, and expectations going forward
Home Team – 2 Challenger – 0
Questions? Tamsen Leachman | 503.417.5513 |tll@dunn-carney.com

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Solving FMLA Leave Abuse - Let the Challenge Begin

  • 2. And the Secret Ingredient is … PERSERVERENCE
  • 3. Meet Scott, Head Chef During annual review, Scott claims migraines caused all ‘alleged’ problems Also tells you… Onset unpredictable, triggered by stress Results in yelling and rudeness More likely at end of the week Duration varies, generally 6 hrs Medication makes him anxious and unpredictable
  • 4. The Challenge is On … Mind racing, you search your memory for ‘buzz’ words & dig out your seminar notes FMLA – Serious Health Condition (SHC) Chronic condition Intermittent leave ADA – can he perform Essential Functions Substantially limited in major life activity Interactive process and realistic options Direct threat
  • 5. What Now? Is Scott covered by FMLA? 12 months // 1250 hours If so, do we have notice? Specific condition, chronic nature, current problem, will cause need for leave when occurs Within 5 business days of notification of need Rights & Responsibilities and Eligibility Notice (WH-381) and Medical Certification (WH-380-E)
  • 6. 15 Days Later … 3. …Is the employee unable to perform any of his job functions due to the condition: ____ No __x__ Yes. If so, identify the job functions the employee is unable to perform:Can’t work 7. Will the condition cause episodic flare-ups periodically preventing the employee from performing his/her job functions? ____ No __x__ Yes.
  • 7. 15 Days Later … (7)Is it medically necessary for the employee to be absent from work during the flare-ups? __x__ No __x__ Yes. If so, explain:Depends onseverity. (7)Based upon medical history and the medical condition, estimate frequency of flare-ups and duration of incapacity over the next 6 months: Frequency: _1_ times per _x_ week(s) month(s) _x_. Duration: _2-12_ hours or ___ day(s) per episode.
  • 8. Notice of Deficiency New tool – Insufficient or Incomplete 3: which job functions cannot be performed 7: is time off medically necessary during flare-up* 7: frequency unclear due to conflicting information Must provide written notice or use WH-382 7 calendar days to cure Leave can be denied if not cured
  • 9. 7 Days Later … 3. …If so, identify the job functions the employee is unable to perform:All 7. Is it medically necessary … absent from work during the flare-ups? __ No _x_ Yes. If so, explain:Severe migraines cause personality changes and medication causes drowsiness making it unsafe for Scott to work. Based upon medical history and the medical condition, estimate frequency of flare-ups and duration of incapacity over the next 6 months: Frequency: _ times per _from 1 day perweek(s)to once permonth(s) __. Duration: _2-12_ hours or __ day(s) per episode.
  • 10. Cross-Roads Deny certification as not supporting leave Second Notice of Deficiency Within 5 business days, accept Certification and designate leave (WH-382) Accept and initiate direct contact to HCP to authenticate and clarify
  • 11. Second Opinion? Only opportunity to request (WH-382) Genuine concern about legitimacy? At employer cost If not, time to designate (WH-382) Consider Fit for Duty due to safety concern
  • 12. Fit for Duty Certification Every occurrence, unless less than 30 days from last one Significant safety risk Doctor’s clarifying words Scott’s statement during review Like ADA Direct Threat standard Consider using form for physician and job description as tools
  • 13. Fast Forward … Scott misses 3 Friday & 4 Saturday shifts in 2 months Called right before, claiming he wants FML for his headache You scramble to find coverage and end up cooking Rumor has it that Scott is also working at another restaurant that pays more
  • 14. What Questions Can We Ask Does Scott qualify for leave? Which essential function can’t Scott perform Why does he needs entire shift off What is the medical necessity justifying absence Was notice given as soon as practicable How long will Scott be on leave
  • 15. What Tools Can We Use Normal & Customary attendance procedure Call-In Policy: Who, How, When, What Shared Consequences for non-compliance FML may be denied for inadequate notice Disciplined for failure to follow policy
  • 16. Periodic Reports Can require employee to initiate contact Purpose is to confirm … Still has need for leave Still has intent to return Reasonable intervals
  • 17. Personal Certification Policy I, _____, certify that my absence on ______ was due to the reason stated in the Medical Certification I submitted to the Company on ___ in connection with my Family Medical leave. I understand that absence taken due to the serious health condition set forth in the Certification will be counted against my leave entitlement under the FMLA and Company policies. I also understand that providing false or misleading information about my absence will result in disciplinary action, up to and including immediate termination.
  • 18. Moonlighting Policy Consider limited policy focused on misuse of leave Be clear about prohibition against working second job while on FMLA leave Gather evidence of violation if taking disciplinary action - consider using 3rd party or photos, as standard is honest belief of misuse
  • 19. Recertification Every 6 months for continuing/open-ended condition or sooner if duration finite Also available when information/events cast doubt on employee’s stated reason for leave Pattern of absence Working second job (if confirmed) Contact health care provider to describe possible inconsistent conduct concern
  • 20. Bonus & Financial Motivators If based on attendance goal and consistent with all types of leave, counting permissible OFLA counting is NOT permissible Can also focus on hitting key objective targets Labor costs Gross profit Number of customers, positive reviews, etc.
  • 21. Sick Leave Limitation Employer can require paid leave run concurrently Requiring use of vacation time/PTO is deterrent Narrow scope of sick leave to ‘employee only’ Consider requiring employee to stay at home during sick leave unless otherwise approved Requiring medical support for sick leave pay Beware of Doctor’s Excuses! or similar companies
  • 22. 1 Hour Minimum Regulations allow counting of leave in units up to 1 hour Must use same unit for all leave programs Does not impact obligation to pay for time worked if less than 1 hour of leave used
  • 23. Lessons Learned Thoughtful Procedure is Key Review certification and identify deficiencies Consider clarification if questions still exist If question legitimacy, second opinion option In designation process, remember fit for duty Ensure employee’s notice fits certification
  • 24. Lessons Learned Adopt Call-In Policy Require Reasonable, Periodic Reports Personal Certification Upon Return Recertification if Questionable Use Bonus Incentive – Attendance/Performance Consider Limited Sick Leave Benefit Count in 1 Hour Minimum Blocks Designate Every Time
  • 25. Home Team – 1 Challenger – 0
  • 26. About That Behavior Problem … You pick up the paper and see this picture on the front of the Food & Lifestyle Section Scott tracked down a food critic at home, and gave a review of his own Scott claims his migraine made him do it and it was off-work behavior
  • 27. Do We Ignore or Discipline Can we discipline for off-duty conduct? Is there a policy that has been violated? Is Scott covered by the ADA? Do we need to ignore conduct as a reasonable accommodation?
  • 28. Is Scott Disabled? Three pronged definition of disability: Physical / mental impairment (including episodic) that substantially limits 1 or more Major Life Activities* Record of such impairment Regarded as having such
  • 29. Coverage Questions Is Scott qualified individual … Can he meet the regular and dependable attendance standard that is an essential function What is/are the major life activities … Working Thinking Interacting with others Is Scott substantially limited when condition active... Maybe, No, Probably
  • 30. Accommodation Steps Identify EJF that require accommodation Identify accommodations to reduce and/or remove barriers and increase productivity Determine cost and effectiveness of accommodations identified Implement accommodation that is most appropriate with least economic hardship
  • 31. In the Case of Migraines Reduce migraine triggers … Lighting changes Noise reduction strategy Fragrance elimination Consistency Allow recovery from episode … Time off or quiet, dark place to rest Telework JAN is excellent source for exploring options
  • 32. What is Not Required Changes to Qualitative or Quantitative Standards Elimination of Essential Functions Changes that Create Undue Hardship Expensive Disruptive Eliminates reasonable conduct rules
  • 33. The Choice Reasonable Options Explore reducing stress triggers Allow time off so long as call-in rules, etc. are followed Suspend some non-essential functions and re-evaluate periodically Unreasonable Options Telework Allow any requested scheduling change without notice Eliminate Essential Functions or provide assistant Overlook rule violations
  • 34. No Matter What, No More of This!
  • 35. Documentation Identify what assistance Scott may receive Clarify process for obtaining help or leave Document interactive process and Scott’s agreement to conclusion Confirm accuracy of current job description Obtain agreement to conduct and performance standards going forward, status of disciplinary process, and consequences for non-compliance
  • 36. Lessons Learned Ensure job descriptions have behavior- & attendance-focused essential functions Provide clarity about quantitative and qualitative standards and expectations Identify appropriate accommodations to assist with removal of barriers Documents agreements, current status, and expectations going forward
  • 37. Home Team – 2 Challenger – 0
  • 38. Questions? Tamsen Leachman | 503.417.5513 |tll@dunn-carney.com