FMLA PolicySection Name: Human Resources Effective Date: June 15, 2009
Section Number: 400 Date of Revision: February 2, 2015
Policy Number: 003
Page: 1 of 8
Subject: Family and Medical Leave Act
1. Purpose: The purpose of this policy under the Family and Medical Leave Act
(FMLA) is to provide eligible employees with unpaid leave for certain family
and medical reasons.
2. Statement of Policy: This policy sets out the employee's rights and obligations.
A. Employee Eligibility Criteria. To be eligible for FMLA leave, the
employee must have been employed:
• for at least 12 months (which need not be consecutive); and
• for at least 1250 hours during the 12 month period immediately
preceding the commencement of the leave.
B. Reasons for FMLA Leave. Subject to the provisions of this policy and the
Family and Medical Leave Act, an eligible employee may take leave for
any one, or a combination of, the following reasons:
1. The birth of the employee’s child or to care for the newborn child;
2. The placement of a child with the employee for adoption or foster care
or to care for the newly placed child.
3. To care for the employee’s spouse, child or parent (but not in-law) with
a serious health condition; and/or
4. To care for the employee’s own serious health condition that makes the
employee incapable of performing the functions of his or her job.
5. A qualifying exigency (as defined by the Department of Labor) arising
out of the fact that the spouse, or a son, daughter, or parent of the
employee is on covered active duty or call to covered active duty in the
Armed Forces.
6. Care of the employee’s spouse, child, parent, or next of kin (as defined
by the Department of Labor) who is a covered servicemember.
C. As used in Section B, paragraphs 5 and 6 above, the following definitions
apply:
1. The term “covered active duty” means:
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(i) in the case of a member of a regular component of the Armed
Forces, duty during the deployment of the member with the Armed
Forces to a foreign country; and
(ii) in the case of a member of a reserve component of the Armed
Forces, duty during the deployment of the member with the Armed
Forces to a foreign country under a call or order to active duty.
2. The term “covered servicemember” means:
(i) a member of the Armed Forces (including a member of the
National Guard or Reserves) who is undergoing medical treatment,
recuperation, or therapy, is otherwise in outpatient status, or is
otherwise on the temporary disability retired list, for a serious
injury or illness; or
(ii) a veteran who is undergoing medical treatment, recuperation,
or therapy, for a serious injury or illness and who was a member of
the Armed Forces (including a member of the National Guard or
Reserves) at any time during the period of 5 years preceding the
date on which the veteran undergoes that medical treatment,
recuperation, or therapy.
3. The term “serious injury or illness” used in Section C, paragraph 2, i
and ii above means:
(i) in the case of a member of the Armed Forces (including a
member of the National Guard or Reserves), means an injury or
illness that was incurred by the member in line of duty on active
duty in the Armed Forces (or existed before the beginning of the
member's active duty and was aggravated by service in line of duty
on active duty in the Armed Forces) and that may render the
member medically unfit to perform the duties of the member's
office, grade, rank, or rating; and
(ii) in the case of a veteran who was a member of the Armed
Forces (including a member of the National Guard or Reserves) at
any time during the period of 5 years preceding the date of
treatment, recuperation or therapy, means a qualifying (as defined
by the Department of Labor) injury or illness that was incurred by
the member in line of duty on active duty in the Armed Forces (or
existed before the beginning of the member's active duty and was
aggravated by service in line of duty on active duty in the Armed
Forces) and that manifested itself before or after the member
became a veteran.
D. Amount of Leave.
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An eligible employee is entitled to up 12 workweeks of unpaid leave
during any 12-month period for reasons 1-5 above.
An eligible employee is entitled to up to 26 workweeks in a single 12-
month period to care for an injured or ill servicemember (reason 6 above).
Provided, however, leave to care for an injured or ill servicemember, when
combined with other FMLA qualifying leave (reasons 1-5), may not
exceed 26 weeks in a single 12 month period. The single 12-month period
is on a per-covered-servicemember basis. If all of the 26 workweek
entitlement is not used in the single 12-month period, the remaining leave
entitlement is forfeited. This paragraph does not limit the availability of
FMLA leave for reasons 1-5 during any other 12-month period.
E. Leave Period.
Reasons 1-5. The leave period for reasons 1-5 is a rolling 12-month
period measured backward from the first day of the employee’s leave.
Reason 6. The single 12-month leave period for reason 6 will be
measured consistent with the first day of leave taken and ending 12-
months later.
F. Birth, Care or Placement of Child. The right to FMLA leave for the birth,
care and/or placement of a child into an employee’s family may only be
taken within the 12 months after the date of the birth or placement of the
child.
G. Spouses Working for the City. If both spouses are employed by the City
of Monroe, the combined leave for either birth, care and/or placement of a
child, or to care for the employee’s parent with a serious health condition
shall not exceed 12 weeks. The combined leave for spouses working for
the City is limited to 26 weeks when leave is to care for an injured or ill
service member, or such leave is taken in combination with leave for
either birth, care, and/or placement of a child, or to care for the
employee’s parent.
H. Intermittent Or Reduced Work Schedule Leave.
1. Definitions. Under some circumstances, employees may take
FMLA leave intermittently or on a reduced work schedule basis.
Intermittent leave is leave taken in separate blocks of time. A
reduced work schedule leave is a leave schedule that reduces an
employee’s usual number of hours per workweek or hours per
workday.
2. Birth, Care, or Placement of a Child. In the case of unpaid leave
for the birth, care, or placement of a child, intermittent leave or
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working a reduced number of hours is not permitted, unless both
the employee and the City agree.
3. Medical Necessity. In the case of unpaid leave for serious health
conditions, the leave may be taken intermittently or on a reduced
hour's basis only if such leave is medically necessary.
4. Military Family Leave. FMLA leave may also be taken
intermittently or on a reduced hour's basis for reasons relating to a
family member’s qualifying exigency (reason 5) or when an
employee needs to care for a family member who has incurred an
injury or illness while on active duty (reason 6).
5. Temporary Transfer of Position. Where an employee requests
intermittent leave or leave on a reduced hours basis, the City has
the option, in its sole discretion, to require the employee to transfer
to a temporary alternative job for which the employee is qualified
and which better accommodates the intermittent leave or reduced
hours leave than the employee’s regular job. The temporary
position will have equivalent pay and benefits as the employee’s
regular job.
6. Scheduling of Leave. If an employee takes leave intermittently or
on a reduced work schedule basis, the employee must, if possible,
attempt to schedule the leave so as not to unduly disrupt
operations.
I. Written Application. Employees may request FMLA leave by completing
the City’s Application for FMLA Leave form and submitting it to Human
Resources. Employees can obtain one of these forms from Human
Resources.
J. Employee Notice Requirement.
1. Reasons 1 and 2. When the necessity for leave under reasons 1 and 2 is
foreseeable based on an expected birth or placement, the employee
must provide Human Resources with at least 30 days advance notice,
before the leave is to begin, of the employee’s intention to take leave,
except that if the date the birth or placement requires leave to begin in
less than 30 days, the employee shall provide such notice as is
practicable and shall comply with the City’s normal call-in procedure.
2. Reasons 3, 4 and 6. When the necessity for leave under reasons 3, 4
and 6, is foreseeable based upon planned medical treatment, the
employee:
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a) shall make a reasonable effort to schedule the treatment so as to not
unduly disrupt operations, subject to the approval of the applicable
health care provider; and
b) shall provide not less than 30 days’ notice, before the date the leave
is to begin, of the employee’s intention to take leave, except that if
the date of treatment requires leave to begin in less than 30 days,
the employee shall provide such notice as is practicable and shall
comply with the City’s normal call-in procedure.
3. Reason 5. When the necessity for leave under reason 5 is foreseeable,
whether because the spouse, or a son, daughter, or parent, of the
employee is on active duty, or because of notification of an impending
call or order to active duty in support of a contingency operation, the
employee shall provide such notice as is reasonable and practicable and
shall comply with the City’s normal call-in procedure.
K. Initial Documentation.
1. Family Member Status. When leave is taken to care for a family
member, the City may require the employee to provide documentation
or statement of family relationship (e.g., birth certificate or court
document).
2. Medical Certification. An application for FMLA leave based on
reasons 3, 4 or 6 must, in addition to the “Application for FMLA
Leave” form, be accompanied by the applicable “Certification of
Health Care Provider” form. The certification must state the date on
which the health condition commenced, the probable duration of the
condition, and the appropriate medical facts regarding the condition. If
the employee has a serious health condition, the certification must state
that the employee cannot perform the functions of his or her job. If the
City receives a complete medical certification, it will limit its inquiries
to the health care provider for clarification and authenticity.
3. Qualified Exigency (Reason 5). A request for leave for a qualified
exigency (reason 5), must be supported by complete and sufficient
certification as provided for on the “Certification of Qualifying
Exigency for Military Family Leave” form.
L. Employee’s Reporting Requirements.
1. Recertification and Periodic Reporting. The City may require an
employee on FMLA leave to report periodically on his or her status and
the intention of the employee to return to work, and also periodic
recertification of the medical condition. The City will notify the
employee in writing of its initial requirement for medical certification.
The City will advise the employee of its need for additional medical
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certification in writing. Recertification is not required for Military
Family Leaves (reasons 5 and 6).
2. Change in Return to Work Date. If the employee’s anticipated return to
work date changes and it becomes necessary for the employee to take
more or less leave than originally anticipated, the employee must
provide Human Resources with reasonable notice of the employee’s
changed circumstances and new return to work date. If the employee
gives Human Resources notice of the employee’s intent not to return to
work, the employee will be considered to have voluntarily resigned.
3. Fitness for Duty Certification. Before the employee returns to work
from FMLA leave for the employee’s own serious health condition, the
employee may be required to submit a fitness for duty certification
from the employee’s health care provider, with respect to the condition
for which the leave was taken, stating that the employee is able to
resume work.
FMLA leave or return to work may be delayed or denied if the appropriate
documentation is not provided in a timely manner.
M. Use of Paid and Unpaid Leave. Employees may elect to utilize any accrued
unused sick leave, vacation, and personal leave benefits while on an FMLA
Leave. If the employee exhausts his/her earned and accumulated sick
leave, vacation, and personal leave benefits during the leave of absence, the
remainder of the leave shall be unpaid.
The City is responsible for designating if paid leave used by the employee
counts as FMLA leave, based on information provided by the employee.
N. Designation of Leave. Human Resources will notify the employee that
leave has been designated as FMLA leave, either upon the employee’s
request or, if the City believes the leave to be for an FMLA qualifying
purpose. The City may provisionally designate the employee’s leave as
FMLA leave if the City has not received medical certification or has not
otherwise been able to confirm that the employee’s leave qualifies as
FMLA leave. If the employee has not notified Human Resources of the
reason for the leave, and the employee desires that leave be counted as
FMLA leave, the employee must notify Human Resources as soon as
practicable that the leave was for an FMLA reason. The employee will be
expected to respond to reasonable employer inquiries designed to determine
if the absence is potentially FMLA-qualified. Failure to provide timely
notice or sufficient information may result in the delay or denial of FMLA
coverage. In addition, if the City determines that an employee’s leave was
for an FMLA purpose, it may designate the leave as retroactive FMLA
leave in appropriate circumstances in accordance with FMLA regulations.
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O. Maintenance of Health Benefits. During FMLA leave an employee is
entitled to continue group health care benefits under the same conditions as
if the employee was at work.
An employee on FMLA leave must continue making payments to maintain
health care benefits. The employee and the City will determine, prior to
commencement of the FMLA leave, the method for the employee to pay his
or her share of the cost of health care benefits while on unpaid FMLA
leave. If the employee’s payment of health care benefits is more than 30
days late, the City may discontinue health care benefits upon notice to the
employee.
The City’s obligation to maintain health benefits under FMLA will cease if
and when an employee informs the City of his/her intent not to return to
work at the end of the leave period, or if the employee fails to return to
work when the FMLA leave entitlement is used up.
P. Return From FMLA leave. Upon return from FMLA leave, the City will
place the employee in the same position the employee held before the leave
or an equivalent position with equivalent pay, benefits and other
employment terms and conditions.
Q. Limitations on Reinstatement. An employee is entitled to reinstatement
only if he/she would have continued to be employed had FMLA leave not
been taken. Thus, an employee is not entitled to reinstatement if, because
of a layoff, reduction in force or other legitimate business reason, the
employee would not have been employed at the time job restoration is
sought.
In addition, the City reserves the right to deny reinstatement to salaried,
eligible employees who are among the highest paid 10 percent of the City’s
employees (“key employees”), if such denial is necessary to prevent
substantial and grievous economic injury to the City’s operations.
R. Failure to Return to Work Following FMLA Leave. If the employee does
not return to work following the conclusion of FMLA leave, the employee
will be considered to have voluntarily resigned. The City may recover,
through deduction of accrued paid sick or vacation or other means,
premiums it paid to maintain health insurance coverage for an employee
who fails to return to work from FMLA leave, unless the reason the
employee does not return is due to (1) the continuation, recurrence or onset
of a serious health condition that entitles the employee to leave under
reasons 3 or 4, or (2) the continuation, recurrence or onset of a serious
injury or illness of the family member when leave was taken for reason 6,
or (3) other circumstances beyond the employee’s control.
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S. Reservation of Rights. The City reserves the right to exercise all rights
accorded employers under the Act and Regulations, whether or not the
policy specifically sets out those rights.
T. Conformance with FMLA. The foregoing provisions are intended to
comply with the Family and Medical Leave Act of 1993, as amended, and
with Regulations promulgated, from time to time, by the Department of
Labor. To the extent that any provision conflicts with the Act or
Regulations, the Act and/or Regulations shall control.
3. Definitions: None.
4. Application: This policy shall apply to all eligible employees in all departments
of the City of Monroe.
5. Responsibility: The Human Resources Director or designee shall have the
responsibility of implementing and overseeing the administration of this policy.
6. Administrative Procedure: None
7. Legislative History of Authority for Creation or Revision:
Adopted pursuant to action of the Monroe City Council, dated June 15, 2009.
Amended pursuant to action of the Monroe City Council, dated February 2, 2015.