Family Leave
The Sample Company provides
family leaves of absence without pay to eligible
employees who wish to take time off from work duties to
fulfill family obligations relating directly to
childbirth, adoption, or placement of a foster child; or
to care for a child, spouse, or parent with a serious
health condition. A serious health condition means an
illness, injury, impairment, or physical or mental
condition that involves inpatient care in a hospital,
hospice, or residential medical care facility; or
continuing treatment by a health care provider.
Employees in the following
employment classifications are eligible to request family
leave as described in this policy:
* All employees
Eligible employees should make
requests for family leave to their supervisors at least
30 days in advance of foreseeable events and as soon as
possible for unforeseeable events.
Employees requesting family leave
related to the serious health condition of a child,
spouse, or parent may be required to submit a health care
provider's statement verifying the need for a family
leave to provide care, its beginning and expected ending
dates, and the estimated time required.
Eligible employees may request up
to a maximum of 12 weeks of family leave within any 12
month period. Any combination of family leave and medical
leave may not exceed this maximum limit. Employees will
be required to first use any accrued paid leave time
before taking unpaid family leave. Married employee
couples may be restricted to a combined total of 12 weeks
leave within any 12 month period for childbirth,
adoption, or placement of a foster child; or to care for
a parent with a serious health condition.
Subject to the terms, conditions,
and limitations of the applicable plans, health insurance
benefits will be provided by The Sample Company until the
end of the month in which the approved family leave
begins. At that time, employees will become responsible
for the full costs of these benefits if they wish
coverage to continue. When the employee returns from
family leave, benefits will again be provided by The
Sample Company according to the applicable plans.
Benefit accruals, such as
vacation, sick leave, or holiday benefits, will be
suspended during the leave and will resume upon return to
active employment.
So that an employee's return to
work can be properly scheduled, an employee on family
leave is requested to provide The Sample Company with at
least two weeks advance notice of the date the employee
intends to return to work. When a family leave ends, the
employee will be reinstated to the same position, if it
is available, or to an equivalent position for which the
employee is qualified.
If an employee fails to return to
work on the agreed upon return date, The Sample Company
will assume that the employee has resigned.
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