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Leaves of Absence Policy

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Leaves of Absence Policy
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DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 1 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



SCOPE: All Company-affiliated subsidiaries including, but not limited to hospitals,

ambulatory surgery centers, outpatient imaging centers, physician practices, All About Staffing,

Corporate Departments, Groups, and Divisions (collectively, “Affiliated Employers” and

individually, “Affiliated Employer”).



PURPOSE: Affiliated employers may provide various leaves of absence to employees.



POLICY:

I. TYPES OF LEAVE:

A. EDUCATIONAL LEAVE

Consideration will be given an employee requesting a leave of absence to continue

his/her education if the employee has expressed full intention of returning to

employment.



Eligibility -Full-time regular employees with at least six months of continuous service

who seek to enroll as full-time students in a course of study that would otherwise conflict

with their normal work schedule. Enrollment in part-time, night or weekend courses will

not support eligibility.



Approval - A written request for educational leave should be submitted by the employee

to the supervisor on the appropriate Leave of Absence Request form, setting forth the

dates of the leave requested, the course of study and the educational institution at which

the study will take place. Approval for an educational leave is based on the needs of the

employer and the appropriateness of the course of study to operations.



Duration - The leave should not exceed six (6) months.



B. GENERAL MEDICAL LEAVE

(Including pregnancy leave not covered by Family Medical Leave, the Tennessee

Maternity/Paternity statute, other applicable state statutes and on-the-job injuries or

illness)



Eligibility - A medical leave of absence may be granted to a full-time or part-time

employee with at least six months of continuous service. Any accrued paid benefit time

should be run concurrently with the leave of absence and equal to the employee‟s regular,

not reduced, scheduled hours. There is no minimum service requirement for eligibility

for a leave of absence occasioned by a pregnancy-related disability, or for a disability

arising out of an on-the-job injury or illness.





3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 2 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)







Approval - A written request for this leave should be submitted by the employee to the

supervisor on the appropriate Leave of Absence Request form. A physician‟s

certification will be required. The department head may approve a medical leave of

absence based on the circumstances of the request.



Duration - Medical leaves, if granted, are granted for the duration of the period of

disability, not to exceed six (6) months during a backwards-rolling twelve-month period.

If family and medical leave and general medical leave are taken during the same 12-

month period, the total combined leave time may not exceed six (6) months. An

employee‟s individual circumstance may be the basis to consider general medical leave

time beyond six (6) months. (See Family and Medical Leave guideline).



When an employee can only return to work with a temporary or permanent restriction that

affects ability to perform the essential functions of the job, the employee‟s supervisor

should consult with Human Resources in order to evaluate possible reasonable

accommodation to get the employee back to work.



Medical Verification - An Affiliated Employer reserves the right at any time to require

proof or medical verification of an employee's ability or inability to work. Such proof or

verification may include periodic reports from, or consultation with, the employee's

physician or examination of the employee at the employer‟s expense by a physician

selected by the employer. Human Resources should be consulted regarding medical

verifications.



C. TRAINING LEAVE

This policy is in compliance with the Uniformed Services Employment and Re-

employment Rights Act (USERRA) of 1994 and the Public Health Security and

Bioterrorism Preparedness and Response Act of 2002 under which, service in a training

program authorized by the Assistant Secretary for Public Health Emergency Preparedness

shall be deemed “service in the uniformed services” for purposes of chapter 43 of title

38, United States Code (USERRA).



Non-exempt employees who must be absent for active or inactive military or National

Disaster Medical System training duty (e.g., Reserves or National Guard summer camps,

annual cruises, weekend drills, attendance at military schools or a training program

authorized by the Assistant Secretary for Public Health Emergency Preparedness) will be

granted, upon request, a leave of absence (TRAN) without pay. An exempt employee

who works any part of a work week and then reports for training is entitled to be paid for



3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 3 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



the entire work week. An employee may use PTO for training duty obligations upon

written request.



Eligibility - All employees who engage in active or inactive training duty in the

uniformed services of the United States or National Disaster Medical System.



Approval - Request for training leave should be made sufficiently in advance of the

projected beginning of the leave to enable the employer to adjust the work schedule

accordingly. The employee should use the appropriate Leave of Absence Request form.

The employee should be placed in an 05-Leave of Absence status using the

1LOASTART personnel action and the appropriate reason code (LOA-P-TRAN, LOA-

Paid-Training Milt DMAT, or LOA-U-TRAN, LOA-Unpaid-Training Milt DMAT).



Duration - Leave will be granted for the period of the training.



D. ACTIVE DUTY LEAVE

This policy is in compliance with the Uniformed Services Employment and Re-

employment Rights Act (USERRA) of 1994 and the Public Health Security and

Bioterrorism Preparedness and Response Act of 2002 under which, service as an

appointee when the Secretary of Health and Human Services activates the National

Disaster Medical System shall be deemed „service in the uniformed services‟ for

purposes of Chapter 43 of Title 38, United States Code (USERRA).



All classifications of employees (Full Time, Part Time, PRN, and Temporary) are

covered by USERRA. Former employees of affiliates with five (5) years or less of

military service or employees returning from active duty leave have a right to be re-

employed or reinstated to the same or comparable position held prior to the period of

active duty, including restoration of rate of pay and benefits that would have been

attained had the employee not been absent due to active duty military service.



Beyond the scope of USERRA, it is the intent of this policy to make employees called to

active military duty or service as an intermittent disaster response appointee, other than

routine training, “whole” in terms of missed compensation while on active duty.

Employees‟ compensation will be offset in circumstances where normal pay is greater

than military or National Disaster Medical System pay while on active duty.



Payments will be calculated based on the difference between the employee‟s gross

regular pay (including shift differentials) at the time of activation and his/her gross pay

from the military or National Disaster Medical System. Therefore, regular gross pay will



3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 4 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



be based on the employees‟ scheduled hours and shifts at time of activation. Overtime

hours are not included in the calculations; only regular hours, shift differentials, and any

applicable other premium pay such as certification differentials, are to be included.



Eligibility - Regular Full Time and Regular Part Time employees who have been served

with Activation Orders to report to active duty within their component (USA, USMC,

USN, USAF, USCG, National Disaster Medical System, etc). Temporary and PRN

employees are not eligible.



Procedure for Supplemental Military Pay



Employees who report for active duty may be eligible for supplemental pay to the extent

their gross regular pay (including shift differentials) exceeds their gross pay from the

military.



To determine the pay for employees on military leave, access www.dfas.mil then select

the Military pay Table link. Locate the employee‟s military rank in column one (pay

grade) then locate their cumulative years of service with the military across the top.

NOTE: The employee‟s military years of service should be located on their “JUMPS”

(Joint Uniform Military Pay System) statement. The intersection of pay grade (rank) and

years of service in this table identifies the employee‟s basic pay.



Once employees are able to provide specific proof of pay received from the military, a

determination can be made as to whether supplemental pay is applicable. If so, work

with the PSC payroll processor who can help calculate the appropriate supplemental

payments.



Procedure for Supplemental National Disaster Medical System Pay

Employees activated under the National Disaster Medical System may be eligible for

supplemental pay to the extent their gross regular pay (including shift differentials)

exceeded the pay received from the National Disaster Medical System. Use the link

http://www.opm.gov/oca/05tables/indexGS.asp to determine the pay for employees

activated under the National Disaster Medical System. Use the employee‟s GS grade for

their National Disaster Medical System title of position. This information must be taken

from the employee‟s National Disaster Medical System Activation Orders.

All Disaster Medical Assistance Team (DMAT) positions are paid at Step 1 of the GS

Grade for their respective National Disaster Medical System title of position.



The tables at the above link are set up for either annual or hourly rates, so one may need



3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 5 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



to calculate the differential if the employee is on a bi-weekly or hourly pay schedule.

Once employees are able to provide specific proof of pay received from the National

Disaster Medical System, a determination can be made as to whether supplemental pay is

applicable. If so, work with the PSC payroll processor who can help calculate the

appropriate supplemental payments. All payments will be subject to taxes and other

applicable withholdings.



Procedure for Coding the Active Duty Leave

1. Access the Lawson Human Resource Management System (HRMS)

2. Access PA52.1 Individual Action

3. Select the Employee from the drop down box provided

4. Select 1LOASTART from the drop down box provided in the Action, Nbr field

5. Populate the Effective Date field with the day following their last physical day at

work

6. Select the Reason code “LOA-P-ACTV” from the drop down box provided

7. Click Inquire.

8. Access the Selected Items 1 tab

9. Populate the Status “change to” field with 05

10. Populate the 01-LOA REASON “change to” field with LOA-P-ACTV

11. Populate the 01-LOA EXP RETURN “change to” field with the employee‟s

expected return date (cannot be blank)

12. Click [Add]; validate “Add complete –continue” in status bar









3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 6 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)









For questions about this procedure, contact IT&S Customer Support at

1-800-265-8422, option 4, then 1.



General Guidance for Benefits Continuation While on Active Duty Leave – (See

Attachment A).



E. PERSONAL LEAVE

A personal leave of absence may be approved for a variety of reasons. A Supervisor may

allow an employee personal leave for situations that in management's view, require it.



Eligibility - An approved personal leave of absence may be granted to regular full-time or

part-time employees with at least six (6) months of continuous service. If any portion of

the leave is paid, the employee‟s regularly scheduled hours, not reduced hours, are

charged to PTO and the premiums normally paid by the employee, while working, will be

deducted from such pay.





3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 7 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



Approval - A written request for a personal leave of absence should be submitted on the

appropriate Leave of Absence Request form by the employee to the supervisor prior to

the commencement of the leave. Approval will be granted by the department head based

on the circumstances surrounding the request.



Duration - The leave should not exceed six (6) months.



F. LEAVES OF ABSENCE (FAMILY AND MEDICAL LEAVE)

The Family and Medical Leave Act provides that eligible employees are entitled to a total

of twelve (12) weeks of unpaid leave during a backwards-rolling twelve-month period for

any one, or more, of the following reasons:



1) The birth of a son or daughter, and to care for the newborn child;

2) The placement with the employee of a son or daughter for adoption or foster care, and

to care for the newly placed child;

3) To care for the employee's spouse, son, daughter, or parent with a serious health

condition;

4) Because of a serious health condition that makes the employee unable to work.

5) Because of any qualifying exigency arising out of the fact that the spouse, or a son,

daughter, or parent of the employee is on active duty (or has been notified of an

impending call or order to active duty) in the Armed Forces in support of a

contingency operation.



When an employee can only return to work with a temporary or permanent restriction

that affects ability to perform the essential functions of the job, the employee‟s supervisor

should consult with Human Resources in order to evaluate possible reasonable

accommodation to get the employee back to work.



Leave Entitlement - Leave for birth or placement of child for adoption or foster care must

be taken within 12 months of birth or placement. When both spouses are employed by an

Affiliated Employer they are limited to a combined total of 12 work weeks during a

backwards rolling 12-month period if leave is taken for birth or placement of a child for

adoption or foster care.



Service member family leave: An eligible employee who is the spouse, son, daughter,

parent or next of kin of a covered service member shall be entitled to a total of 26

workweeks of leave during a 12-month period to care for the service member. The leave

described in this paragraph shall only be available during a single 12-month period.

During this single 12-month period, an eligible employee shall be entitled to a combined



3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 8 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



total of 26 workweeks leave under section F-1 through F-5 including the service member

leave described in this paragraph. However, nothing in this paragraph shall be construed

to limit the availability of leave under sections F-1 through F-5 during any other 12

month period.



Family and medical leave need not always be taken in one continuous leave period.

Leave may be taken "intermittently" or on a "reduced schedule" basis under certain

circumstances. Intermittent leave is leave taken in separate blocks of time due to a single

illness or injury, rather than for one continuous period of time. A reduced schedule leave

is a leave that reduces an employee's number of scheduled working hours per day or per

week.



Intermittent or reduced schedule leave for a birth or placement of a child for adoption or

foster care may be approved by the employee's department head if staffing and workload

permit. Intermittent or reduced schedule leave to care for a qualified sick family member

or for an employee's own serious health condition will be approved if the leave is

medically necessary.



An employee who has a serious health condition and is unable to return to work after 12

weeks of family and medical leave may be placed on a general medical leave. (See

general medical leave guideline).



Serious Health Condition - An illness, injury, impairment or physical or mental condition

that involves either:

Any period of incapacity or treatment connected with inpatient care (i.e., an overnight

stay) in a hospital, hospice, or residential medical care facility, and any period of

incapacity or subsequent treatment in connection with such inpatient care; or continuing

treatment by a health care provider which includes any period of incapacity (i.e., inability

to work, attend school, or perform other regular daily activities) due to:

1. A health condition (including treatment therefore, or recovery therefrom) lasting

more than three consecutive calendar days, and any subsequent treatment or

period of incapacity relating to the same condition, that also includes:

a) treatment two or more times by or under the supervision of a health care

provider; or

b) one treatment by a health care provider with a continuing regimen of

treatment; or

2. Any period of incapacity due to pregnancy or for prenatal care. A visit to the

health care provider is not necessary for each absence; or

3. A chronic serious health condition which continues over an extended period of



3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 9 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



time, requires periodic visits to a health care provider, and may involve

occasional episodes of incapacity (e.g., asthma, diabetes). A visit to a health care

provider is not necessary for each absence; or

4. A permanent long-term condition for which treatment may not be effective (e.g.,

Alzheimer‟s, a sever stroke, terminal cancer). Only supervision by a health care

provider is required, rather than active treatment; or

5. Any absences to receive multiple treatments for restorative surgery or for a

condition which would likely result in a period of incapacity for more than three

days if not treated (e.g., chemotherapy or radiation treatments for cancer).



Eligibility - An eligible employee is one who has been employed for at least 12 months,

has at least 1,250 hours of service during the 12-month period immediately preceding the

date of the requested leave, and who expresses an intent to return to work after the leave.



Approval - An employee desiring to take family and medical leave must give at least 30

days advance notice prior to commencement of leave, if the need for leave is foreseeable.

If the need for leave was not foreseeable, and/or 30 days is not possible, the employee

must give as much notice as is possible under the circumstances. The employee should

give at least verbal notification to the employer within one or two business days after the

need for leave becomes known. The employer may delay the taking of FMLA leave until

at least thirty (30) days after the date that notice is provided except in extraordinary

circumstances where such notice is not feasible.



A written request for leave should be submitted by the employee to the Supervisor. The

request should set forth the reasons for the leave, the anticipated start and the duration of

the leave.



When planning medical treatment, the employee should consult with the health care

provider and his/her Supervisor, before scheduling treatment, in order to prevent undue

disruption of department operations.



Medical Certification - A health care provider‟s certification will be required to support a

request for leave. Second or third opinions may also be required at the employer‟s

expense. It is the employee‟s responsibility to return both the health care provider

certification as well as the Leave of Absence Request form to Human Resources within

fifteen (15) days of receipt of the form. A delay in the return of the required documents

and certification may result in the leave being denied or postponed.







3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 10 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



Subsequent re-certifications may also be requested of the employee at periodic intervals

which are no more often than the minimum duration of the period of incapacity specified

on the health care provider‟s certification or every thirty (30) days, whichever is greater,

in order to update the leave record and justify the continuation of the leave. Re-

certification requests must be in connection with an absence by the employee unless

circumstances described by the previous certification have changed significantly,

information is received casting doubt upon the employee‟s stated reason for absence or

the employee requests an extension of the leave. Failure to comply with the requests for

re-certification may result in the leave being cancelled. A new certification may be

required twelve (12) or more months following certification if leave is requested for the

same serious health condition.



A fitness for duty or physician‟s release to return to work will be required when the leave

has been taken due to the serious health condition of the employee. An employee will

not be returned to work without the proper documentation from the health care provider.

Failure to submit a fitness for duty certification may result in the denial of restoration to

employment following FMLA leave.



Reinstatement - An employee should provide the employer with periodic reports

concerning intent to return to work. An employee should give the employer at least two

(2) days notice of intent to return to work earlier than anticipated. An eligible employee

who returns from family and medical leave taken in accordance with this guideline will

be reinstated to his/her former position, or to an equivalent position with equivalent pay,

benefits, and working conditions. Taking of FMLA leave does not entitle the employee

to any lesser or greater right to be restored to his/her position, or an equivalent position

than the right the employee otherwise would have had if FMLA had not been taken (e.g.,

during a reduction in force or organizational redesign).



Key Employee - Reinstatement may not always be possible for certain salaried "key

employees." If the employer determines that reinstatement of a "key employee" would

cause substantial and grievous economic injury to the operations of the employer,

reinstatement may be denied.



An employee requesting leave will generally be notified, at the time of the request, of

his/her status as a "key employee" and the potential consequences with respect to

reinstatement following the leave. If such notice cannot be given immediately, because

of the employer‟s need to determine whether the employee is a key employee, notice will

be given as soon as practicable after receipt of the leave request (or the commencement

of leave, if earlier).



3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 11 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)







If the employer determines, after the leave has begun, that it will not be able to reinstate

the key employee at the end of the leave, it will so notify the employee in writing and

give the employee a reasonable time in which to return to work. If the key employee

elects not to return to work, (if the leave has already begun) after receiving notification of

the employer‟s intent to deny reinstatement, the employee's eligibility for reinstatement

will be governed by the guideline for reinstatement from general medical leave.

In such a case, the key employee's insurance coverages continue in effect throughout the

entire family and medical leave in accordance with the Benefits Continuation section of

this guideline.



Benefits Continuation - An employee on an approved family and medical leave may

continue group insurance coverages during the leave. If any portion of the leave is paid,

the employee‟s regularly scheduled hours, not reduced hours, are charged to EIB or PTO

(per the affiliated employer‟s PTO/EIB usage policy) and the premiums normally paid by

the employee, while working, will be deducted from such pay.



If the leave is unpaid, or paid benefit time is exhausted before completion of the leave,

the medical and dental premiums normally paid by the employee will be paid directly to

LifeTimes Connection during the unpaid leave period. Employees who desire to

continue other coverages (e.g., life insurance and LTD) during an unpaid leave must pay

the full premium amount (company and employee premiums) to LifeTimes Connection

during the unpaid leave period. LTD can only be continued if LOA is due to employee

illness.



Premiums are due on a monthly basis, in advance of the coverage period. An employee's

failure to pay his/her portion of the insurance premiums will result in termination of the

coverages, after proper notice, at the end of the thirty days following commencement of

the leave, or at the end of thirty days following the date premiums became due.



An employee who fails to return to work, following a family and medical leave, for

reasons other than health conditions or some other reason beyond the employee's control,

is required to reimburse the employer for premiums paid by the employer to continue the

employee's insurance coverage during the unpaid portion of the leave.



Employees may choose not to continue insurance coverages during leave. If an employee

elects not to continue coverage his/her coverage will be reinstated, upon the employee's

return from leave, to the same coverage levels that were in effect prior to the leave. The

employee's coverage will be reinstated on the date of return from leave without any



3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 12 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



waiting period, evidence of insurability, or pre-existing condition exclusion.



G. STATE SPECIFIC LEAVE LAWS

Leave for employees working in California, Florida or Tennessee will be

governed by applicable state law on Atlas at:

http://atlas2.medcity.net/portal/contentuid/c80547b5e11f8988b3bd1427ac01a1a0/

STATE%20LEAVE%20LAW.doc.



II. GENERAL GUIDANCE FOR EMPLOYEE BENEFIT PARTICIPATION WHILE

ON LEAVE

A. LEAVES OTHER THAN ACTIVE DUTY

An employee on an approved leave of absence may continue group insurance coverages

during the leave (not to exceed six months). In order to ensure that benefits are continued

through an unpaid Leave of Absence, the Supervisor will generate a “Start Leave”

Personnel Action (PA) indicating the date the unpaid leave will begin. The employee

will be notified by LifeTimes Connection regarding premium payments for certain

benefits. Refer to the Summary Plan Description for more information.

Human Resources should send written notification to an employee who is a participant in

the Long Term Disability (LTD) plan to advise the employee to consider filing a claim

during the fourth month of the employee‟s general medical leave.



B. LEAVES FOR ACTIVE DUTY

General Guidance for Benefits Continuation While on Active Duty Leave – (See

Attachment A)



III. REINSTATEMENT FOLLOWING LEAVE (OTHER THAN ACTIVE DUTY AND

FAMILY AND MEDICAL LEAVE)

Notice of Request for Reinstatement - An employee who is absent on medical leave

should notify the employee's Supervisor of availability to return to work immediately upon

being released to return to work by the employee's doctor. An employee who desires to

return from another type of leave of absence prior to the date the leave was due to expire

should submit written notice of the desire to return to work to the Supervisor at least

fourteen (14) calendar days before the desired return date.



IV. BENEFITS AT REINSTATEMENT (OTHER THAN ACTIVE DUTY, FAMILY

MEDICAL LEAVE OR MATERNITY/PATERNITY LEAVE)

Upon return to work with the employer, the employee's accrued service may be adjusted to

reflect the length of absence. If an employees pay rate upon return from a leave of absence

is different from his/her pay rate prior to the leave of absence, any vacation or sick leave

benefits will be paid at the pay rate in effect at the time they are used. Any sick leave

3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 13 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



accrued but not used at the end of the leave of absence shall become available to the

employee upon return to work in a classification to which this benefit is applicable.



V. REINSTATEMENT AND BENEFITS FOLLOWING ACTIVE DUTY LEAVE,

TRAINING LEAVE, OR FAMILY AND MEDICAL LEAVE

Reinstatement from active duty leave, training leave, family and medical leave or

maternity/paternity leave shall be granted in accordance with state and federal law.



VI. USE OF ACCRUED BENEFIT TIME DURING LEAVE

An eligible employee is entitled to twelve (12) weeks of FMLA and four (4) months (in

Tennessee) of maternity/paternity leave run concurrently, when appropriate, whether or

not the employee has accrued paid benefit time. In those cases where employees have

accrued paid benefit time, (i.e., EIB or PTO), this paid time should be run concurrently

with the leave of absence. Paid benefit time may be used only if the usage is consistent

with the employer‟s earned benefit time utilization guidelines or practice, (e.g., An

employee who would not otherwise be eligible for EIB pay may not apply these benefits to

their FMLA). See Paid Time Off Policy.



If the leave is due to an employee's own serious medical condition, the employee must use

all available EIB benefits before being placed on unpaid leave status. However, the entire

leave period whether paid or unpaid will be counted toward the 12-week maximum

Family and Medical Leave provided by the employer or, when appropriate, the four (4)

month Tennessee Maternity/Paternity Leave period.



VII. ACCRUAL OF BENEFITS WHILE ON LEAVE

Benefits such as PTO and EIB do not continue to accrue during any unpaid portion of a

leave of absence. However, employees retain benefits accrued prior to, but not used

during, the leave. The employee's credit for length of service is protected, but the

employee's anniversary date may be adjusted to reflect the time away from work.



VIII. MEDICAL CERTIFICATION (OTHER THAN FMLA)

The employer requires medical certification of an employee‟s condition or, in the case of

leave to care for a qualified, seriously ill family member, that the requested leave is

medically necessary. In addition, an employee may be required to submit periodic medical

re-certifications to the employer, on a reasonable basis, throughout the leave period.

Failure to provide medical certification may result in the leave not being approved or

extended.







3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 14 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



The employer may require an employee, at the employer‟s expense, to obtain a second

medical opinion. The employer in such cases will designate the health care provider to

furnish the second opinion. If the first and second opinions differ, the employer may

require the employee to obtain a medical opinion from a third health care provider, again

at the employer‟s expense. The third healthcare provider will be jointly selected by the

employer and the employee. The third opinion is final and binding.



IX. FITNESS FOR DUTY (OTHER THAN FMLA)

A fitness for duty or physician‟s release to return to work will be required when general

medical leave has been taken. An employee will not be returned to work without the

proper documentation from the health care provider. Failure to submit a fitness for duty

certification may result in the denial of restoration to employment following the leave of

absence.



X. WORKING WHILE ON LEAVE

Employees may not work in any capacity (whether for another employer or with the

affiliated employer) without prior written consent from Human Resources during

Educational, General Medical, Training, Active Duty and/or Personal Leave. Failure to

obtain prior written consent from Human Resources may result in disciplinary action up to

and including termination.



The interpretation of this or any Human Resource policy rests with the Human Resource

Department which reserves the right to modify, change or discontinue the policy at any time.



PROCEDURE:

1. The Supervisor will advise the employee of his/her potential eligibility for a leave of

absence when either the qualifying event becomes known to the Supervisor, the employee

requests a leave of absence or the employee has been off work for greater than 3 consecutive

work days.



2. The Supervisor should contact the Human Resources Department with any questions

regarding leave eligibility.



3. The Supervisor will generate a “Start Leave” Personnel Action (PA) upon notification or

determination of leave eligibility. The effective date should be the first scheduled work day

missed. Paid or unpaid leave hours should be recorded in the Kronos system using

established “No Pay” codes to allow proper tracking of leave eligibility.







3/2008

DEPARTMENT: Human Resources POLICY DESCRIPTION: Leaves of Absence

PAGE: Page 15 of 15 REPLACES POLICY DATED: 4/1/98, 6/30/02,

12/15/02, 3/15/03, 9/1/05, 11/1/05, 8/1/07,

12/1/07

EFFECTIVE DATE: April 1, 2008 REFERENCE NUMBER: HR.OP.018 (formerly

HR.203)



4. The Supervisor will submit the appropriate supporting documentation to the Human

Resources Department.



5. Human Resources will approve or deny the PA based on review of the Leave of Absence

supporting documentation provided.



6. The Supervisor should record any change or adjustment to the employee‟s leave by

completing a “Change Leave Information” PA. This would include the type of leave (i.e.,

Paid to Unpaid, FMLA to General Medical, etc.) as well as changes to the expected return

date.



7. The Supervisor will ensure that a physician‟s release to return to work is received from the

employee before being returned to the job. The medical release should be forwarded to the

Human Resources Department.



8. The Supervisor should complete a “Return from Leave” PA to return the employee in the

HR system when the employee returns to work.



9. The Supervisor should consult with Human Resources in order to evaluate possible

reasonable accommodation to get the employee back to work when an employee can only

return to work with a restriction that affects the ability to perform the essential functions of

the job.



10. Otherwise, the Supervisor should complete a “Termination” PA if the employee fails to

return to work after exhausting the leave benefit.





REFERENCES:

Recruitment Policy, HR.101

Family and Medical Leave Act of 1993

Tennessee Family and Medical Leave Act

Americans with Disabilities Act

Uniformed Services Employment and Reemployment Rights Act

Public Health Security and Bioterrorism Preparedness and Response Act of 2002









3/2008

Active Duty

Leave of Absence

Continuation of Benefits

Topic Comments Continue End Date

(Y/N)

Direct Deposit Continue current arrangement in place, contact local payroll for changes. Y N/A

Salary review date Salary adjusted to reflect merit increases employee would have received N/A N/A

if not for the leave.

PTO accrual Employee continues to earn PTO through the period of active duty, but Y N/A

not to exceed the plan maximum.

PTO cash out Employee may cash out within the terms of the PTO policy. N/A N/A

Medical  Coverage continues through the end of the month in which the Y End of month

employee works. Employees have the option to continue benefits following last

through Direct Bill and Payment to Lifetimes. Premium notices will work day

be sent to current address on file. UNLESS

they opt to

 Dependents eligible for TRICARE; if employer plans are continued continue

through above process employer plans are primary to TRICARE. through

Direct Bill

and Payment

Dental Same as Medical Y Same as

Medical

Benefit premium Through LifeTimes Direct Bill and Payment, employees will be billed at Y N/A

costs their current “active” rate.



Employee Life May be continued during active duty leave. Employee has the option to Y N/A

continue benefits through Direct Bill and Payments to LifeTimes.

Premium notices will be sent to current address on file

Employee AD&D Will not cover death or disability due to acts of declared/undeclared war N Last work day

or reserve duty.

Dependent Life May be continued during active duty leave. Employee has the option to Y N/A

continue benefits through Direct Bill and Payments to LifeTimes.

Premium notices will be sent to current address on file

LTD Unable to continue since no longer actively at work. No COBRA or N Last work day

conversion option.

Reinstatement Reinstated upon return to work with no waiting period other than those N/A N/A

(Health & Group) expenses as a result of disease, defect or injury caused by war,

declared/undeclared; protected for up to five years. If life is not

continued during active leave, evidence of insurability may be required.

401(K) Deferrals on compensation during leave are not allowed. However, N* Last work day

rollovers into the plan would be allowed. Loan payments will be

suspended until reinstatement. If eligible, employee will be allowed to

take in-service withdrawals including hardship distributions. Employee

will maintain investment discretion over the account. Certain “catch up”

contributions allowed upon reinstatement. Vesting service will be

updated with active duty service upon reinstatement.









3/2008

Attachment to HR.OP.018

Active Duty

Leave of Absence

Continuation of Benefits



Topic Comments Continue End Date

(Y/N)

Retirement Plan Annual contribution(s) will be made based on pre-active duty leave pay. N* Last work day

Contribution(s) based on Active Duty Military Leave rate of pay will be

made after reinstatement. Vesting service will be updated with military

service upon reinstatement.





Job security Reinstatement to original position if return to work in less than 91 days. Y N/A

Reinstatement to original or comparable position if return to work in 91

or more days.

Seniority No break in service for time spent on active duty Y N/A

Employee Available to employee and dependents Y N/A

Assistance

Program

Flexible Spending  Dependent Care Flexible Spending N **

Accounts**  Health Care Flexible Spending Account Y **



* Special rules for bridging service apply upon reinstatement.

** Flexible Spending Account rules apply:

 Dependent Care contributions will not continue, claims may still be reimbursed up to the balance of the

account

 Health Care contributions may continue through Direct Bill & Payment









3/2008

Attachment to HR.OP.018


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