Health Care A Touch

© **** ComPsych Corporation. All rights reserved. This information is for educational purposes only. It is always important to consult with the appropriate professional on medical, legal, behavioral or other issues. As you read this information, it is your responsibility to make sure that the facts and ideas apply to your situation. FMLASource,

®

Inc. is a ComPsych

®

company.

455 N. City front Plaza Drive, 13th Floor

Chicago, IL 60611-5322

Phone: 1.877.GO2.FMLA (1-877-***-****)

Fax: 1-877-***-****

https://fmlasource.com

Your Next Steps - After You’ve Received a Decision Worker’s Compensation Lost TIme

During Your ABSENCE

What you need to know:

Make FMLASource your first point of contact for your absence and disability questions. Live, knowledgeable representatives are available to guide you through the absence process between the hours of 7:30am and 9:00pm CST.

If your absence is denied you may contact FMLASource via fmlasource.com, **********@**********.***, or 877- GO2-FMLA 877-***-****) for further review and explanation of the denial.

When you want to check the status: If you haven’t received a notification or decision, you can check the status of your claim at any time by logging on to www.fmlasource.com.

Tracking your absence dates: For your continuous absence, the dates you requested are already in our system. You do not need to call and report the time you’re out.

Return to work: Failure to return on or before the specified return date without an approved extension may result in discipline up to and including the termination of employment. What you need to do:

To change your absence dates: You will receive a touch base email or call 2 weeks before the end of your absence. You can simply reply to our outreach - or contact us at any time via www.fmlasource.com, **********@**********.***, or 877-GO2-FMLA to request an adjustment.

Being Cleared Fit to Return to Work: You will be required to provide a fitness for duty (FFD) clearance from the health care provider upon your return back to work from your own disabling condition. Within your letter packet is a form to take to your doctor to complete.

Returning to work early: If you are returning to work earlier than anticipated, you must notify your manager two (2) business days prior to your expected return date. Failure to notify your manager may delay your return to active employment.

Keep an eye out for your RTW notification: You will hear from us 2 weeks before the end of your absence – via email or a phone call depending on your preferred method of communication – so we can confirm you will be returning to work on time or make any adjustments as needed.

© 2014 ComPsych Corporation. All rights reserved. This information is for educational purposes only. It is always important to consult with the appropriate professional on medical, legal, behavioral or other issues. As you read this information, it is your responsibility to make sure that the facts and ideas apply to your situation. FMLASource,

®

Inc. is a ComPsych

®

company.

455 N. City front Plaza Drive, 13th Floor

Chicago, IL 60611-5322

Phone: 1.877.GO2.FMLA (1-877-***-****)

Fax: 1-877-***-****

https://fmlasource.com

Your JOB, PAY, and BENEFITS

What you need to know:

Reductions in force: If you return within the specified absence protection period, you will be entitled to return to the same job or an equivalent position offering equivalent pay, benefits and working conditions. However, you have no greater right to reinstatement or other benefits than if you had been continuously employed during the FMLA absence period. For example, if your job is impacted by a loss of contract, position elimination, or substantial reduction in work load.

Entitlement: The requested absence will be counted against your annual FMLA entitlement. FMLA absence is up to a total of twelve weeks of unpaid job-protection, which is taken during a rolling twelve-month period measured backwards from the date you use absence under FMLA.

What you need to do:

To Maintain Your Benefits: Under current company policy, you are required to pay your portion of the health care, life insurance and/or disability plan premiums. While on paid leave, your employer will continue to make payroll deductions to collect your share of the premiums. While on unpaid leave, you must continue to make this payment, either in person or by mail. The payment must be received in the Human Resources Department by the 1st working day of each month. If the payment is more than 30 days late, your health care coverage may be dropped for the duration of the leave. You will be provided 15 days' notification prior to your loss of coverage.

Paid and unpaid absence: You will be required to use 5 paid vacation, personal and/or sick leave days prior to being eligible for unpaid leave while out on FMLA. Your paid vacation, personal and sick leave runs concurrently with FMLA.

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