Davis Behavioral Health 2024-2025 Benefit Guide | Page 51

Important Notices and Disclosures

Michelle ’ s Law Notice
( To Accompany Certification of Dependent Student Status )
Michelle ’ s Law is a federal law that requires certain group health plans to continue eligibility for adult dependent children who are students attending a post-secondary school , where the children would otherwise cease to be considered eligible students due to a medically necessary leave of absence from school . In such a case , the plan must continue to treat the child as eligible up to the earlier of :
� �
The date that is one year following the date the medically necessary leave of absence began ; or
The date coverage would otherwise terminate under the plan For the protections of Michelle ’ s Law to apply , the child must : � �
Be a dependent child , under the terms of the plan , of a participant or beneficiary ; and
Have been enrolled in the plan , and as a student at a post-secondary educational institution , immediately preceding the first day of the medically necessary leave of absence .
“ Medically necessary leave of absence ” means any change in enrollment at the post-secondary school that begins while the child is suffering from a serious illness or injury , is medically necessary , and causes the child to lost student status for purposes of coverage under the plan .
If you believe your child is eligible for this continued eligibility , you must provide to the plan a written certification by his or her treating physician that the child is suffering from a serious illness or injury and that the leave of absence is medically necessary .
If you have any questions regarding the information contained in this notice or your child ' s right to Michelle ' s Law ' s continued coverage , you should contact Human Resources .
Family Medical Leave Act
FAMILY & MEDICAL LEAVE ACT ( FMLA )
FMLA is designed to help employees balance their work and family responsibilities by allowing them to take reasonable unpaid leave for certain family and medical reasons . It also seeks to accommodate the legitimate interests of employers and promote equal employment opportunity for men and women . FMLA applies to all public agencies , all public and private elementary and secondary schools , and companies with 50 or more employees . There may be times when you need an extended leave of absence . The company has a Family and Medical Leave Policy that is in compliance with The Family and Medical Leave Act of 1993 ( FMLA ), as amended . FMLA provides an entitlement of up to 12 weeks , which protects employees ’ jobs and benefits in the event of a medical or family circumstance , which requires the employee to take time off from work without pay . In general , the employee must have worked for at least 12 months and at least , 1,250 hours within the last 12 months immediately prior to the first day of leave .
CIRCUMSTANCES PERMITTING FAMILY AND MEDICAL LEAVE � Birth of an employee ’ s child ( within 12 months after birth ) � Adoption of a child by an employee ( within 12 months after placement ) � Placement of a child with the employee for foster care ( within 12 months after placement ) � � �
Care of a child , spouse or parent having a serious health condition Incapacity of the employee due to a serious health condition Military Leave
Additional leave laws may apply to you depending upon your specific state and if you or a dependent or a military member . Whenever possible leave must be requested in advance . If you have questions about FMLA or any leave requests , please contact Human Resources .
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