Level II Leaves Flashcards
Control # 70467 How many wks could a pregnant EE expect to be paid?
DBA:
14 wks: Normal delivery= 2 weeks company paid leave during EP + 4 weeks of STD + 8 weeks of company leave
16 wks: C-section= 2 weeks company paid leave during EP + 6 weeks of STD + 8 weeks of company leave
Control # 41800 What would you tell a caller who says they already had a claim w/ prior carrier for migraines but you don’t see one in DCMS.
DBA:
Script: “I see you are a new customer, welcome to Prudential. We are currently updating our claims with your prior carrier’s information. I am happy to start a claim to report any new dates of absences while we are still processing the information from your prior carrier.”
If caller questions why a new claim is needed:
Script: “Setting up a new claim ensures we can report your new absences timely to your employer. All previous information will be combined with this new claim.”
During intake please ask honor certification questions and notate for DCM
Control # 52841 How much time would a pregnant EE expect to get paid?
Pg 2:
ER has special 100% 12-week maternity benefit from date of delivery
Control # 52841 What is the late cert handling process?
Pg 2: Contact client prior to reversing denial (if medically supported) to confirm no adverse actions already taken
Control # 70680: How many wks could a pregnant EE expect to get paid for company leave?
DBA: MATERNITY PROVISION FOR ABSENCE
Appian pays birth mothers a total of 16 weeks at 100% pay based on approval of the Appian Paid Maternity leave. Includes up to 2 weeks ante partum, PP recovery, and/or comps, and bonding until 16 weeks is exhausted. Leave can be used in a max of 2 continuous blocks only. If total 16 week duration is not used in 2 occurrences, remaining leave time is forfeited
If you see mention of a Maternity, Paternity, Pregnancy or Bonding leave mentioned in notes on the DBA where would you look for more details?
ABS Summary lists all leaves available to a specific EE and PG 2 will have the leave details
What do you do if you just can’t figure out how all of the leaves work together?
JA’s: be sure to use Control + F to pull up find. This will enable you to search for key words.
Chats: use as few words as possible to capture the nature of your question and if possible continue w/ the intake while you wait for response
Transfer to Response: If is it a choice between guessing and transferring then transfer.
Who can use USERRA?
Service members called up for active duty
Who can use FMLA Military Exigency?
Family members of active duty service members
Who can file an ADA accommodations claim?
Only Employer can file an ADA accommodations claim and only for ERs that we manage ADA for
What is ADA Accommodations used for?
Accommodations than an EE may need to keep them working. (EE not taking a leave or missing work)
