lorrie
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Does your health insurance Master Plan Document outline how coverage for your plan is coordinated with Medicare? According to our plan document, "Federal legislation requires that active employees age 65 and over be given the option to elect either …
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I'm impressed with what I've seen listed here. Our company (155 ee's) is self-funded but uses a TPA to administer our health program. Hourly employees pay $40 per month for a single plan, and $290 per month for a family plan. This is 16% and 40%, r…
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Same here - we require all eligible employees to sign a form either accepting or declining health coverage. Our 'decline' form also outlines when they will be able to pick up coverage at another time, such as a change in circumstance or open enrollm…
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>BMI is calculated as weight x height (inches) squared divided by 704.5. I'm confused. I'm 5'2", and let's say 110 lbs. x;-) 110 x (62 squared) / 704.5 110 x 3844 / 704.5 422840 / 704.5 = 600.198 I'm apparently not doing something right…
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Is this a refusal to test, or did he "fail to take" the test for some other reason? (I'm not sure that it matters, but if this is a REFUSAL, you want to make sure that is very clear in court.) Also, does your policy state that positive results (or …
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I have an aunt who died (at age 49) a week ago, after a lengthy battle with emphysema. More than once over the past few years the doctors 'called in the family,' thinking that she would not make it. Each time she would pull through, and was often ab…
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If your policy does not specify that the illness must be their own, and if your practice has been to pay employees who were out due to the illness of a family member, then why would you question whether or not to pay him? Your question makes me wo…
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I agree that the STD pay does not start until after the vacation pay, but the FMLA designation begins on 7/1.
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I don't see any reason why you can't take her to court. Unfortunately, the cost of going to court can sometimes be greater than the potential gain. Your call. Good Luck! In addition, as Geno points out, if the employee chooses not to return after …
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I would simply remain neutral: not suggest it or encourage it, but what they choose to do is up to them as long as they follow the restrictions. (Of course this changes if they receive STD or work comp.)
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It seems like there are some guidelines for recertifying on a regular basis, and also some notification guidelines you can use. Here are a couple of opinion letters to look at. (It may be grasping at straws, but you can read them and decide for your…
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It seems to me that if you are willing to let her have the 2 days off, without negative consequences, and without FMLA designation, then you are both better off to do this. (Assuming you are willing to do the same for any other similarly situated em…
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HIPAA should not be a problem for w/c claims. There should be no problem with the pharmacy sending you a bill for the ee for a w/c claim.
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I wish I did too. We've had claims from delivery drivers and fork lift drivers.
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Definitely have the supervisor document every incident. I assume these 'episodes' prevent the employee from performing the essential functions of the job? Even if this person DOES qualify for ADA protection, allowing someone to continue working in…
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An employee can't work OVERtime if not working REGULAR time first. I say if they come in early to work their regular hours so they can get 2 hours overtime in before the end of their regular shift, then the first 8 hours are considered regular time,…
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That is correct, assuming the x-ray does not show anything wrong. The one I missed was when an ER doctor told the patient (written on the dismissal slip) to take X # of milligrams of ibuprofen for the next 24 hours. I did not record the injury, and…
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This forum is so helpful to me; I find it easier to learn the regulations when applied to real life situations. So, what is the next step here? Is FMLA denied because it does not meet the 3-day requirement of #2, and leave it up to the employee to …
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On the US Dept of Labor certification form, it specifies in 2(a) that the period of incapacity must be more than 3 consecutive calendar days... that also involves: (1) treatment 2 or more times... or (2) treatment ..on at least one occastion which r…
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Does this even count as FML? I thought to be a 'serious health condition' it had to require an absence of more than 3 calendar days.
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Wow. I can't imagine why you would want him back. I would term as soon as the attendance policy allows it, and would look for a legitimate reason for that to be immediate. (Does leaving after 5 minutes on a shift count for something? In our attendan…
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Are you interested in requesting a second opinion? You have to pay for it, but you can choose the doctor and if you really doubt the validity of the first one, it might be worth it. If a second doctor is willing to go along with the first, then you …
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I agree with your thoughts on playing doctor, but I'm not sure how else to get enough information from an employee when they ask for medical attention for ridiculous things. Using this process, if it seems possible that it is work related, I turn it…
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I would not automatically re-open either. I created a questionnaire that employees have to complete if they are requesting medical care (work comp) and there is no specific incident to report on an accident form. I ask: 1. Briefly describe the con…
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Unless her doctor specifically states that she needs this type of 'tardiness flexibility' then you should NOT count it as FMLA, and DO count it against your attendance policy. If her doctor says she needs intermittent, then there should be some typ…
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[font size="1" color="#FF0000"]LAST EDITED ON 04-05-05 AT 11:43AM (CST)[/font][br][br]I like this solution. Our policy also requires the use of all available PTO during FMLA, but I have still struggled with how to handle the STD vs Vacation time du…
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Yes, if he went to the bank FOR work, ON work time, it is work comp.
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The rating is established by the National Council on Compensation Insurance, Inc., (NCCI). I understand that a 1.0 rating means your work comp claims are average for your particular industry. Thus, a rating over 1.0 means your claims are higher than…
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I wish I could offer some great advice here, but I would love it if anyone else out there knows something about this. We switched insurance brokers almost 2 years ago, and they have been great about reviewing the w/c claims we submit and making sur…