1 LOS ANGELES UNIFIED SCHOOL DISTRICT Policy Bulletin TITLE: NUMBER: REQUIRED POSTING FOR PAID FAMILY LEAVE INSURANCE BUL-1085 ROUTING All Employees All Locations ISSUER: DATE: June 15, 2004 David Holmquist, Director Office of Risk Management and Insurance Services POLICY: MAJOR CHANGES: DUE: GUIDELINES: Effective July 1, 2004, employees who are currently paying into the State Disability Insurance program will be eligible for partial wage replacement when the employee needs to care for a seriously ill child, spouse, parent, or domestic partner, or wants to bond with a new child. This program is to be administered by the State Employment Development Division (EDD). The requirements of this bulletin are in addition to that of Memorandum No. L-2 entitled, Family & Medical Leave Act (Posters) issued on October 18, 2002 by the Office of General Counsel. It contains additional posting requirements and guidelines for paid family leave insurance, and new contact information. The attachments at the end of this bulletin should be posted on or before July 1, The attachments are: Notice to Employees Form DE1857A Rev. 35, Notice to Employees (Spanish) Form DE1857A/S/Rev. 35, Paid Family Leave Insurance Program Form DE2511 I The following guidelines apply: On or before July 1, 2004, the District is required to notify all employees of their rights under the Paid Family Leave Insurance Program. In order to be eligible for paid family leave benefits, an employee must pay into State Disability Insurance which is indicated on the employee s payroll stub. All schools and offices shall be required to print and post the attached poster and distribute the brochure upon request. Any reproduction of the poster and/or brochure is the responsibility of the school or office. The poster shall be displayed in a conspicuous place(s) where it can be readily seen by all employees. It is recommended that the poster be placed adjacent to the Family & Medical Leave Act (FMLA) poster referenced in Memorandum No.L-2. For schools and offices that have any employees who predominately speak and understand Spanish, a Spanish version of the notices is also attached for posting.
2 LOS ANGELES UNIFIED SCHOOL DISTRICT Policy Bulletin Employees requesting leave to care for a seriously ill family member or bond with a new child shall be given a copy of the brochure and directed to the local EDD office, to the EDD 1-800# ( ), or to the EDD website at for claim forms or additional information. A brochure shall be given each time that an employee makes a request that is covered under this law and policy. Failure to comply with the requirements described above may constitute a violation of law and District policy. AUTHORITY: This is a state mandate and District policy. RELATED RESOURCES: ASSISTANCE: A reference guide outlining the Family & Medical Leave Act/California Family Right Act (FMLA/CFRA) policy, procedures and guidelines is currently under development and will be distributed by September 30, In the interim, all questions related the FMLA/CFRA can be directed to the Office of Risk Management and Insurance Services at (213) For assistance or further information regarding FMLA, CRFA or paid family leave insurance, please contact the Integrated Disability Management Unit, Office of Risk Management and Insurance Services at (213)
3 Notice to Employees: THIS EMPLOYER IS REGISTERED UNDER THE CALIFORNIA UNEMPLOYMENT INSURANCE CODE AND IS REPORTING WAGE CREDITS THAT ARE BEING ACCUMULATED FOR YOU TO BE USED AS A BASIS FOR: UI Unemployment Insurance (funded entirely by Employers taxes) When you are unemployed or working less than full time and are ready, willing, and able to work, you may be eligible to receive Unemployment Insurance benefits. If you are within California, call: English Chinese Spanish Vietnamese If you are outside California but within the United States, Canada, Puerto Rico, or the Virgin Islands, call Note to Callers: Mondays are our busiest days. For fastest service, call Tuesday through Thursday. If you are calling to open a claim, you must call by Friday to receive credit for the week. To file for Unemployment Insurance benefits via the Internet, go to File your claim promptly. You may lose benefits to which you would otherwise be entitled if you delay in filing your claim. TTY (FOR DEAF OR HEARING-IMPAIRED INDIVIDUALS ONLY) IS AVAILABLE AT SDI State Disability Insurance (funded entirely by Employees contributions) When you are unable to work or reduce your work hours because of sickness, injury, or pregnancy, you may be eligible to receive State Disability Insurance benefits. Your employer must provide a copy of State Disability Insurance Provisions, DE 2515, to each newly hired employee and to each employee leaving work due to pregnancy or due to sickness or injury that is not related to his/her job. Claim Forms If your employer operates under an approved Voluntary Plan of disability insurance and you have chosen to be covered by it, obtain disability insurance claim forms from your employer. l If you are not covered by a voluntary plan, obtain claim forms from your doctor, hospital, or directly from any California State Disability Insurance (SDI) office. l File your Claim for SDI Benefits, DE 2501, within 49 days of the first day of your disability to avoid losing benefits. l FOR MORE INFORMATION ABOUT SDI, CONTACT A DISABILITY INSURANCE CUSTOMER SERVICE CENTER AT TTY (FOR DEAF OR HEARING-IMPAIRED INDIVIDUALS ONLY) IS AVAILABLE AT PFL Paid Family Leave (funded entirely by Employees contributions) When you stop working or reduce your work hours to care for a family member who is seriously ill or to bond with a new child, you may be eligible to receive Paid Family Leave (PFL) benefits beginning July 1, Your employer must provide a copy of Paid Family Leave, DE 2511, to each newly hired employee as of January 1, 2004, and to each employee leaving work to care for a seriously ill family member or to bond with a new child beginning July 1, Claim Forms If your employer operates under an approved Voluntary Plan of disability insurance and you have chosen to be covered by it, obtain paid family leave claim forms from your employer. l If you are not covered by a voluntary plan, obtain claim forms from any California State Disability Insurance (SDI) office. l File your Claim for PFL Benefits, DE 2501F, within 49 days of the first day of your family leave to avoid losing benefits. l FOR MORE INFORMATION ABOUT PFL, CONTACT A PAID FAMILY LEAVE CUSTOMER SERVICE CENTER AT BE-THERE. TTY (FOR DEAF OR HEARING-IMPAIRED INDIVIDUALS ONLY) IS AVAILABLE AT NOTE: DE 1857A Rev. 35 (10-03) (INTERNET) SOME EMPLOYEES MAY BE EXEMPT FROM COVERAGE BY THE ABOVE INSURANCE PROGRAMS. IT IS ILLEGAL TO MAKE A FALSE STATEMENT OR TO WITHHOLD FACTS TO CLAIM BENEFITS. FOR ADDITIONAL GENERAL INFORMATION, VISIT THE EDD WEB SITE AT Page 1 of 1 GA 888
4 AVISO A LOS EMPLEADOS: ESTE EMPLEADOR/PATRÓN ESTÁ INSCRITO CON EL DEPARTAMENTO DEL DESARROLLO DEL EMPLEO (EDD) CONFORME AL CÓDIGO DEL SEGURO DE DESEMPLEO DE CALIFORNIA, Y ESTÁ REPORTANDO LOS CRÉDITOS DE SALARIOS/JORNALES QUE SE ESTÁN ACUMULANDO A SU CUENTA PARA UTILIZARSE COMO UNA BASE PARA: UI EL SEGURO DE DESEMPLEO (Financiado en su totalidad por los impuestos pagados por los empleadores/patrones) Cuando Ud. se encuentre sin empleo o trabajando menos de jornada completa y, esté listo(a), dispuesto(a) y en condiciones para trabajar, Ud. podrá tener derecho a recibir Beneficios del Seguro de Desempleo. Si Ud. se encuentra en California, llame: en inglés al ; en español al Si Ud. se encuentra fuera de California, pero en los Estados Unidos, Canadá, Puerto Rico o las Islas Vírgenes, llame al Nota a los que Llaman: Los días lunes son los más ocupados. Para recibir servicio más rápido, por favor llame de martes a jueves. Si Ud. llama para presentar una solicitud de beneficios, Ud. debe llamar a más tardar el viernes para recibir crédito por la semana. Para presentar su Solicitud del Sequro de Desempleo por medio de la Internet, vaya al Presente su solicitud pronto. Ya que usted podrá perder beneficios a los que de otra forma Ud. tenía derecho a recibir, si se demora en presentar su solicitud. EL SISTEMA TTY ESTÁ A LA DISPOSICIÓN (PARA LAS PERSONAS SORDAS O CON IMPEDIMENTOS DEL OÍDO SOLAMENTE) AL SDI EL SEGURO DE INCAPACIDAD (Financiado en su totalidad por las contribuciones de los empleados) Cuando Ud. no puede trabajar o sus horas han sido reducidas debido a enfermedad, lesión o embarazo, podrá tener derecho a recibir Beneficios del Seguro de Incapacidad. Su empleado/patrón deberá de suministrar una copia del formulario DE 2515/S/ Provisiones del Seguro Estatal de Incapacidad a todas las personas recién contratadas para trabajar y a todos los trabajadores que dejan el empleo debido a embarazo o una enfermedad o lesión no relacionada con el trabajo. Formularios de Solicitud l Si su empleador tiene un Plan Voluntario aprobado del Seguro de Incapacidad y Ud. optó ser protegido(a) por tal plan, obtengo los formularios del Seguro de Incapacidad, directamente con su empleador/patrón. l Si Ud. no está protegido(a) por un plan voluntario, obtenga formularios de solicitud en el consultorio de su médico, hospital o directamente en cualquier oficina del Estado de California del Seguro de Incapacidad (SDI). l Presente su solicitud para beneficios SDI, DE 2501, dentro de 49 días del primer día de su incapacidad, para evitar perder beneficios. PARA MÁS INFORMACIÓN ACERCA DEL SDI, COMUNÍQUESE CON UN CENTRO DE SERVICIOS AL CLIENTE DEL SEGURO DE INCAPACIDAD, AL EL SISTEMA TTY ESTÁ A LA DISPOSICIÓN (PARA LAS PERSONAS SORDAS O CON IMPEDIMENTOS DEL OÍDO SOLAMENTE) AL PFL PERMISO FAMILIAR PAGADO (Financiado en su totalidad por las contribuciones de los empleados) Cuando Ud. deja de trabajar o reduce sus horas de trabajo para cuidar a un miembro de la familia que está seriamente enfermo(a) o para establecer lazos afectivos con un nuevo hijo(a), usted puede tener derecho a recibir beneficios del programa de Permiso Familiar Pagado, comenzando el 1ro. de julio de Su empleador/patrón deberá de proporcionar una copia del folleto Permiso Familiar Pagado, DE 2511, a todo empleado(a) nuevo después del 1ro. de enero de 2004 y a todo empleado(a) que deja de trabajar para cuidar a un miembro de la familia que está seriamente enfermo(a) o para establecer lazos afectivos con un(a) nuevo(a) hijo(a), comenzando el 1ro. de julio de Formularios de Solicitud l Si su empleador tiene un Plan Voluntario aprobado del Seguro de Incapacidad y Ud. ha elegido ser protegido(a) por tal plan, obtengo los formularios del Permiso Familiar Pagado, directamente de su empleador/patrón. l Si Ud. no está protegido(a) por un plan voluntario, Ud. puede obtener los formularios de solicitud en cualquier oficina del Estado de California del Seguro de Incapacidad (SDI). l Presente su solicitud para beneficios, DE 2501F, dentro de 49 días del primer día de su permiso familiar, para evitar perder beneficios. PARA MÁS INFORMACIÓN ACERCA DEL PROGRAMA, COMUNÍQUESE CON EL CENTRO DE SERVICIOS DEL PROGRAMA DE PERMISO FAMILIAR PAGADO AL EL SISTEMA TTY ESTÁ A LA DISPOSICIÓN (PARA LAS PERSONAS SORDAS O CON IMPEDIMENTOS DEL OÍDO SOLAMENTE) AL NOTA: ALGUNOS EMPLEADOS PODRÍAN SER EXENTOS DE LA PROTECCIÓN DEL SEGURO DE INCAPACIDAD Y DE DESEMPLEO. ES UN ACTO ILEGAL EL HACER DECLARACIONES FALSAS O EL NO DIVULGAR AL DEPARTAMENTO TODOS LOS HECHOS DEL CASO CON EL PROPÓSITO DE RECIBIR BENEFICIOS. PARA OBTENER INFORMACIÓN GENERAL ADICIONAL, VISITE NUESTRO SITIO ELECTRÓNICO EN LA INTERNET EN DE 1857A/S/ Rev. 35 (10-03) (INTERNET) Page 1 of 1 GA 888/CU/MIC 62
5 With Paid Family Leave you can afford to be there when you need to be There are times in the life of every working person when they need to care for a loved one. Maybe it s a working mother who needs more time to bond with and care for a newborn. Maybe it s an employee who needs to care for a parent, child, spouse, or domestic partner who is seriously ill or unable to care for themselves. California s new Paid Family Leave law was created for times like these. Paid Family Leave for California employees Paid Family Leave insurance does not provide job protection or return rights. Your job may be protected if your employer is subject to the federal Family Medical Leave Act and the California Family Rights Act. You must notify your employer of your reason for taking leave in a manner consistent with your company s leave policy. To qualify for Paid Family Leave compensation, you must meet the following requirements: Be covered by State Disability Insurance (SDI) (or a voluntary plan in lieu of SDI) and have earned at least $300 from which deductions were withheld Complete your claim forms accurately, completely, truthfully, and timely The time you need for times like these. Paid Family Leave insurance program. Supply medical information that supports your claim that the care recipient is in need of your care Provide documentation to support a claim for bonding with a new child Use up to two weeks of any earned but unused vacation leave if required by your employer Serve a 7-day unpaid waiting period before benefits begin You may not be eligible for benefits if: A program that benefits you and your family Paid Family Leave insurance benefits are based on past quarterly earnings and range from a minimum of $50 to a maximum of $728 per week for up to six weeks for claims beginning July 1, For claims commencing in 2005, the maximum weekly benefit amount will be $840. You receive State Disability Insurance, Unemployment Compensation Insurance, or Workers Compensation You are not working or looking for work at the time you begin your family leave You are not suffering a loss of wages The need for care is not supported by the certificate of a treating physician or practitioner You are in custody due to conviction of a crime DE 2511 I Rev. (1-04) (INTERNET) Page 1 of 2
6 You are entitled to: Know the reason and basis for any decision that affects your benefits Appeal any decision about your eligibility for benefits and appear before a California Unemployment Insurance Appeal Board administrative law judge Privacy Information about your claim will be kept confidential except for the purposes allowed by law A special law for special times With Paid Family Leave insurance, California is leading the nation as the first state to make it easier for employees to balance the demands of workplace and family care needs at home. If you have any questions or feel you are in need of and eligible for these benefits, contact us today BE-THERE (English) (Español) (TTY) P.O. Box Sacramento, CA Fast facts about Paid Family Leave Provides benefits but does not provide job protection or return rights Provides workers some compensation to care for parents, children, spouses, and domestic partners or to bond with a new child Covers all employees who are covered by SDI (or a voluntary plan in lieu of SDI) Offers up to 6 weeks of benefits in a 12-month period Provides benefits of approximately 55% of lost wages Payroll deductions begin Jan. 1, 2004 Benefits begin July 1, 2004 Administered by the Employment Development Department In California, it s the law. Paid Family Leave Insurance Program The time to care BE-THERE For more information, visit: BE-THERE (English) (Español) (TTY) EDD is an equal opportunity employer/program. Special requests for alternate formats need to be made by calling BE-THERE. This pamphlet is for general information only and does not have the force and effect of law, rule or regulation. State of California Page 2 of 2