Family Medical Leave Act

The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave.

Am I eligible to take FMLA leave?
You are an eligible employee if all of the following apply:

• You work for a covered employer,
• You have worked for your employer at least 12 months,
• You have at least 1,250 hours of service for your employer during the 12 months before your leave, and
• Your employer has at least 50 employees within 75 miles of your work location.

To initiate a request for FMLA:

1. Complete the following request form:
   • FML Request Form
2. Select the appropriate form from the list below and submit to your healthcare provider (or other third party if applicable) for completion.
   • Certification of Health Care Provider for Employee’s Serious Health Condition
   • Certification of Health Care Provider for Family Member’s Serious Health Condition
   • Military Caregiver, Leave of an Active Duty Servicemember
   • Military Caregiver, Leave of a Veteran
   • Certification for Military Family Leave for U.S. Department of Labor Qualifying Exigency
3. Completed forms must be submitted to Human Resources for final approval.  Please contact Human Resources to initiate a request for FMLA.

FMLA leave is not paid leave; you are required to use your available sick and/or vacation leave time during your FMLA absence.

If on an approved FMLA, you will note that you are responsible for your portion of insurance premium payments during your FMLA leave. Please note that if you have sick and/or vacation leave time available, and continue to receive a paycheck, any applicable premiums will be deducted from your paycheck as usual.  Employer health insurance premiums are paid 100% by the college and will continue to be covered through the FMLA period, regardless of pay status.  However, if you go into unpaid status during your FMLA period, health insurance or any other voluntary deductions, you will be responsible for any premium payments related to those deductions.  You will need to work directly with the Department of Management Services, People First, and Payroll regarding payment.

To learn more about Family and Medical Leave Act, visit US Department of Labor website here.

Board Policy – Family and Medical Leave Act
Administrative Procedure – Family and Medical Leave Act