Rod Satterwhite and David Greenspan are members of the Labor & Employment group at McGuireWoods LLP. Both handle employment litigation on behalf of employers, and advise companies on employment issues regularly.

February 2009 - Posts

THE NEW FMLA REGS (PART 3 of 5) - The Certification Process

The Certification and Recertificaton Process:

The Who? The What? & The When?

 

The new FLMA regulations provide for three critical changes in the certification and recertification process.  These changes deal with which employer representatives may contact the health care provider who performed the certification, the content of fitness-for-duty certifications, and new timing provisions for both employers and employees. By learning these three simple changes to “the who, the what, and the when,” you’ll know all you need regarding the new certification and recertification process under the new FMLA Regulations.

 

The Who

 

The Who are an English rock band formed in 1964. The primary lineup was guitarist Pete Townshend, vocalist Roger Daltrey, bassist John Entwistle and drummer Keith Moon. They are one of the most influential rock bands of the 1960s and '70s, and recognized as one of the greatest rock and roll bands of all time.  But I digress…

 

The Who?: Who can Contact an Employee’s Health Care Provider.


In response to concerns raised by employees regarding their medical privacy, the new Regulations specify which employer representatives may contact the health care provider who provided the employee certification. This representative must be either:

 

  1. A health care provider
  2. A human resource professional
  3. A leave administrator; or
  4. A management officer

 

The Regulation is equally clear, however, as to which employer representative may not contact the employee’s health care provider.  Under the new regulations the employee’s direct supervisor may not contact the employee’s health care provider who provided the employee’s certification.

 

The What?:  Information & The Fitness-for-Duty Certification

 

A fitness-for-duty certification allows employers to enforce uniformly-applied policies or practices that require all similarly-situated employees who take leave to provide certification that they are able to return to work  The new Regulations change some of the content that employer’s can obtain during the fitness-for-duty certification process.  Under the new Regulations an employer may: 

 

  1. Require that the certification specifically address the employee’s ability to perform the essential functions of the employee’s job; and
  2. Require a fitness-for-duty certification before an employee may return to work when the employee takes intermittent leave where reasonable job safety concerns exist.

 

The When?

           

The Regulations also clarify several different timing provisions for when employers can ask for a recertification from an employee and how long employees have to correct any deficiencies in their certifications or recertifications.  The new provisions are summarized below.

 

  • The Regulations provide many new timing provisions within the certification and recertification process.

 

  • Employers may now request a new medical certification each leave year for medical conditions that last longer than one year.

 

  • Employers may now request a new medical recertification for an ongoing condition every six months in conjunction with an employee’s absence.

 

  • The employee has seven days to cure any deficiencies in their certification or recertification after the employer has notified the employee that their certification is either incomplete or insufficient. It’s also worth noting that if an employer believes that a medical certification is incomplete or insufficient, the employer must specifically tell an employee in writing what information is lacking.  This written notice triggers the employee’s seven days to cure the certification.

 

The Why?: 

 

These changes are aimed at bringing the certification and recertification process into compliance with the Health Insurance Portability and Accountability Act (“HIPPA”) by ensuring that the employee’s medical information is kept private.  By clarifying the certification and recertification process, both employers and employees will be able to navigate the process with fewer pitfalls.

 

The Summary

 

There you have it—the “who,” the “what,” the “when” (and even the “why”) of the new FMLA Regulations and the certification and recertification process.  For those of you that still want to read more, you can read the Regulations in their entirety.  The certification and recertification provisions begin at 29 C.F.R. §§ 825.305 and end at 29 C.F.R. 825.313.

 

 [Special thanks to Melissa Taylormoore, an associate in our Tysons Office]

Employee Notice Requirements - the Bright Side (Part 2 of 5)

Last week we discussed the notice obligations imposed on employers by the new FMLA regulations.  This week we're going to review one of the more employer-friendly sets of changes brought about by the regs:  employee notice requirements; i.e., how much notice does an employee have to provide, and what do they need to say?

Foreseeable Leave

Section 825.302 addresses foreseeable leave, and retains the traditional 30-day notice requirement.  If it is not possible to provide 30-days' notice, notice must be provided as soon as practicable.  Again, this part isn't really new.  However, the regulations now go further and state that it is usually "practicable" to provide notice the same day or the next business day, absent extenuating circumstances.  This new language should be helpful for employers who have employees with last-minute notice problems.  For qualifying exigency leave, there is no 30-day requirement, but an employee still must provide notice as soon as practicable.  The regulations also provide that employees must comply with the employer’s usual notice and procedural requirements for leave.  The language that prohibited an employer from delaying or denying leave if the employee did not follow such procedures has been deleted.    

Employees still have no obligation to specifically mention the need for FMLA leave; the regulations now provide additional guidance as to what constitutes “sufficient information.”  The Department of Labor (“DOL”) clarified that the specific information mentioned need not be provided in each case, and that the information required depends on the situation.  However, some examples are: information that a condition renders the employee unable to perform the functions of the job; or if the leave is for a family member that the condition renders the family unable to perform his/her daily activities; that the employee is pregnant or has been hospitalized overnight; the anticipated duration of the absence; or that the employee is under the continuing care of a health care provider. 

If the leave is for a previously-certified FMLA-qualifying condition, the employee must specifically reference the particular reason or the need for FMLA leave. 

The new regulations also add references to explain the notice requirements for qualifying exigency leave and military caregiver leave.  Interestingly, if an employee fails to give 30 days' notice and the leave was forseeable, the employer can require the employee to provide an explanation as to why 30 days' notice was not provided.

Unforeseeable Leave

Employees are required to provide notice of unforeseeable leave as soon as practicable under the facts and circumstances of the case.  It is generally practicable for the employee to provide notice within the time prescribed by the employer’s usual and customary notice and procedural requirements that are applicable to such leave.    Thus employers can apply procedural requirements such as "you must speak to a supervisor and not just a co-worker when you call in" as long as those rules apply equally to non-FMLA leaves.

As with foreseeable leave, the new regulations retain the standard that the employee need not specifically mention the FMLA when requesting leave but now provide additional information regarding what type of information is “sufficient.”  The regulations also (finally) explicitly state that calling in “sick” is insufficient to trigger the employer’s notice requirements.  An employee must also respond to questions from the employer designed to determine whether the leave is FMLA-qualifying.     

The employee is required to specifically mention the condition or the FMLA if the leave is for a previously-certified FMLA-qualifying reason.  

Consequences

The new regulations also provide guidance clarifying the consequences of an employee’s failure to provide timely notice of the need for leave.  The old regulations only explained the consequences for a delay where the need for leave was foreseeable and the employee could have provided 30-days notice.  Now the regulations also address situations where the need for leave is foreseeable less than 30-days in advance, and where the leave is unforeseeable.   The new regulations also provide examples of what it means to delay leave.

Overall, the new employee notice requirements are generally employer-friendly.  The language of the regulations makes it clear that it is the employee's obligation, at all times, to provide enough information for the employer to determine that it is an FMLA leave request.  For employers who have been dealing with employee abuse in this area, these changes should prove helpful.