SMC Leave Administration

Paid Family Leave

Paid Family Leave (PFL) is intended to allow qualified employees in New York State the ability to take paid time off to care for a close relative with a serious health condition, assist a qualified family member who is called to active military service, or bond with a newborn or newly placed child.

Documents:

• Policy
• PFL Fact Sheet
• Statement of Rights
• Payroll Deduction Information
• PFL-FMLA Comparison

Forms:

• Family Care
• Military Event
• Bonding with child
• Part B Form

Short-Term Disability

Short-Term Disability (STD) provides part or all of your basic salary when your are absent from work due to a non-work-related illness or injury.

Documents:

• Helpful Hints to the Disabled Employee
• Maternity Leave Quick Reference

Forms:

• Authorization for Release of Personal Health Information
• Disability Claim Form DB450 (DB450 Instructions)

Workers' Compensation

Workers' Compensation (WC) is insurance that provides employees injured on the job with wage reimbursement and payments for medical care related to the injury.

Long-Term Disability

The Long-Term Disability (LTD) Plan provides a monthly income benefit when you are totally disabled for more than six months.

Forms:

• LTD Claim Form (CIGNA)

Family Medical Leave

The Family Medical Leave Act (FMLA) is an unpaid leave granted to eligible employees for up to 12 weeks during a 12 month period for a qualifying reason.

Documents:

• Policy
• Employee Rights Under FMLA
• FMLA Qualifying Reasons
• FMLA Quick Reference
• FMLA Q&A
• Department of Labor’s Employee’s Guide to the Family and Medical Leave Act

Forms:

• Request FMLA
• Medical Certification for Employee
• Medical Certification for Covered Family Member
• Medical Certification for Military Family Leave
• Medical Certification for Current Service Member Military Leave

Other Leaves

Additional information regarding other absences from work.

Documents:

• Holidays
• Jury Duty
• Voting Leave

Contact Leave Administration

For all leave questions contact Human Resources (585-538-2194 x296).

Email: human.resources@sabinmetal.com