Family Medical Leave Act

What Is the Family Medical Leave Act - or FMLA?

FMLA is a federally mandated leave policy that provides 12 weeks of unpaid, job protected leave in a 12 month period.  For Complete Details, Please Review the Booklet Below.

mhk fmla leave booklet

To Request A Leave, Contact The Benefits Service Center at 1-866-481-4922

Representatives are available from 8:00 am - 6:00 pm EST, Monday - Thursday and 8:00 am - 5:00 pm Friday EST.  Please make your request 30 days prior to the start of your leave (or as soon as practical under your circumstances).  You will also need to advise your supervisor of any request being made for a leave. Leaves must be requested within 15 days of the initial date of absence, or the leave may be denied.

Submitting the FMLA Certification Form

The law requires that the Company allow employees up to 15 days to return their FMLA paperwork to the Benefits Service Center (BSC) from the date the paperwork is mailed.

After the initial 15 days have expired, the BSC will attempt to follow up with the employee and remind them that their paperwork is overdue and allow an additional 10 days to satisfy the paperwork requirement.  If the completed FMLA paperwork has not been received by the end of the 10-day grace period, the leave will be denied.

Please contact the Benefits Service Center's Leave Department at (866) 481-4922 for further details. 

Intermittent Leaves

An Intermittent Leave is where your time off will occur sporadically - a day here and there or a partial work day. A completed, signed certification form is required and must include a frequency and duration for the estimated time you expect to be out of work.

Intermittent Leave time must be reported to the BSC at 866-481-4922 and to your supervisor. When possible, intermittent leave time should be reported in advance. In the instance where this is not possible, any intermittent time off should be reported to the BSC within 5 business days of the absence.

State of New York Paid Family Leave

Employees who work in the State of New York are eligible for New York Paid Family Leave (NY PFL) effective 1/1/2018.

New York Paid Family Leave mandates job protected paid leave for employees who work in the State of New York for the following leave reasons:

  • Bond with a newborn, adopted or foster case child during the first 12 months
  • Care for a seriously ill family member
  • Address important needs related to a family member’s* military service

* Does not include grandparent/grandchild for military

Covered Family Members

The following types of family members are covered under New York Paid Family Leave:

  • Spouse or domestic partner
  • Child (biological, adopted, foster, step-child, legal ward, child of a domestic partner, or the child to whom the employee stands in loco parentis)
  • Parent, parent-in-law (biological, foster, adoptive, step-parent, or in loco parentis)
  • Grandparent or grandchild
How to File a Claim

If you work in the state of New York, to initiate a Paid Family Leave claim, you will need to do the following:

1. Call Mohawk’s BSC at 866-481-4922 to request a Leave of Absence

AND

2. Call Hartford at 866-945-4558 to initiate claim for NY Paid Family Leave

> Hartford will determine eligibility for PFL and mail you an acknowledgement letter, a claim form, and the physician’s certification form.
> You will have 30 days to submit completed paperwork to Hartford.
> If paperwork is not received within 30 days, the claim is closed.

Benefit

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Questions?

If you have questions on NY PFL, please contact Hartford at 866-945-4558.

Additional Information

Leave Policy Summary

FMLA Rights and Responsibilities Document

Military FAQ's - Qualifying Exigency

Information for Employees in New York State 

For Additional Information, Contact The Benefits Service Center at 1-866-481-4922

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