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Human Resources Campus Information Session

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Changes in Prescription Drug Program. Mandatory Generic ... Discard old health/drug cards. Utilize one card for BOTH medical services and prescription drugs ... – PowerPoint PPT presentation

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Title: Human Resources Campus Information Session


1
Human ResourcesCampus Information Session
  • Welcome
  • Tuesday, September 16, 2003

2
Introduction
  • Purpose To increase communication flow with the
    campus community regarding staffing process and
    actions that affect employees

3
Agenda
  • Benefit Changes/Department Enrollment
  • Family Medical Leave Act
  • Payroll Deadlines
  • Attendance Reporting
  • Questions Answers

4
Benefit Changes/Department Enrollment
  • Benefit Enrollment Meetings (handout)
  • Annual Enrollment Open Labs (handout)
  • Enroll Online Utilizing BenefitSelect 2004
  • My Southeast
  • CICS username and password

5
Proposed Changes for 2004
  • Two Health Insurance Plans
  • Opt Out provision- Health Insurance
  • Four Health Insurance Tier Levels
  • New Dental Insurance Carrier

6
Proposed Changes, continued
  • Changes in Prescription Drug Program
  • Mandatory Generic
  • Step Therapy
  • Nurse Triage Services
  • Case Management Services

7
New Health/Drug Cards
  • New cards will be issued and mailed to employees
    homes in late December
  • Discard old health/drug cards
  • Utilize one card for BOTH medical services and
    prescription drugs

8
Family Medical Leave Act
  • Department of Labor
  • Wage and Hour Division
  • Effective August 5, 1993
  • Revised 1995

9
What is FMLA?
  • FMLA Leave Entitlement
  • Under federal law, FMLA entitles employees to
    have 12 weeks of job protected leave (paid or
    unpaid ) in a 12-month period for specified
    family and medical reasons
  • Employers are allowed to substitute paid leave
    for unpaid leave based on the FMLA election

10
Reasons for FMLA
  • For the birth, adoption or foster care placement
    of a child, or to care for a newborn child
  • To care for an immediate family member with a
    serious health condition (spouse, child, or
    parent)
  • When the employee is unable to work because of
    his/her own serious health condition

11
Intermittent/Reduced Schedule Scheduled Leave
  • May be taken when medically necessary to care for
    a seriously ill family member, or because of the
    employees serious health condition
  • May be taken to care for a newborn or newly
    placed adopted or foster care child (only with
    the employer approval)

12
Employee Eligibility
  • Has worked for the employer for at least 12
    months and
  • Has worked at least 1,250 hours during the 12
    month period prior to FMLA leave

13
Serious Health Condition
  • Means an illness, injury, impairment, or physical
    or mental condition that involves
  • Inpatient (overnight) hospital stay or
  • A period of incapacity requiring absences of more
    than three calendar days from work, involving the
    continuing treatment of a healthcare provider or
  • A period of incapacity due to pregnancy or
    prenatal care or
  • A period of incapacity due to a chronic serious
    health condition (asthma, diabetes, epilepsy) or
  • A period of incapacity due to a long term illness
    for which treatment may not be effective (stroke,
    Alzheimers) or
  • Absences related to multiple treatments for a
    condition that would likely result in incapacity
    or more than three days if left untreated (chemo,
    dialysis)

14
Medical Certification
  • An employer may require that the need for leave
    for a serious medical condition of the employee
    or the family member be supported by
    certification issued by a health care provider.
    The employer must allow the employee at least 15
    calendar days to obtain the medical certification.

15
Health Care Provider
  • Doctor, Podiatrist, Dentist, Clinical
    Psychologist, Optometrist, Chiropractor, and the
    list goes on

16
Protections under FMLA
  • A covered employee
  • Maintains employer-paid benefits
  • Will be restored to his/her original job or
    equivalent job in terms of pay, benefits and
    other terms and conditions of employment

17
Employee Notice
  • Employees should provide
  • 30 day advance notice when leave is foreseeable
  • Notice as soon as practical when leave is not
    foreseeable deemed as verbal notice within one
    to two days
  • Sufficient information for employer to understand
    that the employee needs leave for FMLA qualifying
    event (does not need to mention FMLA)

18
Employer Notice
  • Post the notice approved by Secretary of Labor
  • Include information about employee rights in
    handbooks and written material or provide written
    guidelines
  • Provide a written notice designating the leave as
    FMLA leave, detailing specific expectations of
    the employee who is exercising his/her FMLA
    entitlement. The notice must be provided within
    one to two business days after receiving the
    employees notice of need for leave (WH-381)

19
Employer Response to Employee Request for Family
or Medical Leave (WH-381)
  • Describes how the leave will be counted
  • Describes the requirements of the employee to
    furnish medical certification and the
    consequences of failing to do so
  • Describes the employees right to elect to use
    paid leave or the employers right to require the
    use of paid leave and the conditions relating to
    using paid leave

20
Supervisor Responsibilities
  • Recognize the need to designate a leave as Family
    Medical Leave
  • Notify Human Resources Benefits Office
  • Collect the Health Care Certificate from the
    employee
  • Assure that time sheet is marked correctly DTOS
    is recorded
  • Be consistent!

21
Human Resources Responsibilities
  • We will send the initial notifications (WH-381)
    to the employee copying the supervisor
  • We will notify Payroll regarding the impending
    time sheets for FMLA designation

22
Payroll Deadlines
  • Located on the Payroll Web site at
    http//www4.semo.edu/humanresources/payroll/calen
    dars
  • A. Monthly Time Report
  • B. Biweekly Time Report
  • C. Monthly Leave Report
  • D. Additional Pay Report

23
Payroll DeadlinesMonthly Employees
  • Monthly leave reports for November
  • Due 11/24/03
  • Monthly time reports for December
  • Due 11/24/03
  • Monthly leave reports with anticipated vacation
    days in December due 11/24/03
  • Monthly leave reports with sick leave for
    December due 1/05/04

24
Payroll DeadlinesBi-Weekly Employees
  • DTOS entry and approval for pay period ending
    12/13/03 due by noon on 12/09/03
  • DTOS entry and approval for pay period ending
    12/27/03 due by noon 12/23/03
  • Any additions or changes for pay period ending
    12/27/03 are also due by noon on 12/23/03
  • Schedule subject to change notification will be
    sent to the department by Payroll

25
  • RG-13 Attendance Reporting
  • By Debbie Howey

26
QUESTIONS ANSWERS
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