FMLA leave triggered? Employees don’t have to miss three days of work
Employees may take leave under the federal Family and Medical Leave Act (FMLA) for several reasons, and one of those reasons is to care for their own or a family member’s medical condition. There’s no list of qualifying medical conditions, so employers have to gather all the facts to see if FMLA applies.
FMLA-related medical conditions can be short- or long-term. Some employers believe that their FMLA obligations aren’t triggered unless and until an employee misses three days of work. That’s just not true in many situations, and here’s why.
The FMLA defines a serious health condition as an illness, injury, impairment, or physical or mental condition that involves inpatient care or continuing treatment by a health care provider.
Inpatient care explained
Inpatient care is an overnight stay in a health care facility. If the employee or family member had an overnight stay, it’s an FMLA serious health condition regardless of how many days of work the employee missed.
If the employee or family member did not have an overnight stay, employers move on to the continuing treatment part of the definition.
Continuing treatment defined
A serious health condition involving continuing treatment includes the following:
- A period of incapacity of more than three, consecutive, full calendar days, and any subsequent treatment that also involves:
- Treatment two or more times within 30 days of the first day of incapacity by a health care provider, or
- Treatment at least once, resulting in a regimen of continuing treatment.
- Any period of incapacity due to pregnancy or for prenatal care.
- Any period of incapacity (or treatment for) a chronic serious health condition requiring treatments at least twice per year and continuing over an extended period of time. These may cause episodic rather than continuing periods of incapacity.
- A period of incapacity for a permanent or long-term condition in which treatment may not be effective.
- Any period of absence to receive multiple treatments (i.e., chemotherapy, radiation, physical therapy, dialysis), for restorative surgery, or for a condition that would likely result in a period of incapacity of more than three consecutive, full, calendar days if treatment isn’t received.
Not all parts of the definition above will apply to a particular situation. The only part of the continuing treatment segment that involves three days, for example, falls under the first bullet. For all the other parts, any period of incapacity would be FMLA leave. An employee doesn’t need to miss three days of work.
Focus on incapacity not absence when applying FMLA leave
The period of more than three days applies to how long the individual is incapacitated, not how many days of work the employee missed. If, for example, an employee who normally works Monday through Friday suffers a serious health condition on Friday evening and is incapacitated until Wednesday, the period of incapacity is more than three days. The employee missed only two days of work, but those two days would be FMLA leave.
Failure to designate an absence as FMLA leave when it is called for risks a claim that the employer interfered with the employee’s FMLA rights.
Key to remember: Employees don’t have to miss three days of work to trigger an employer’s FMLA obligations.