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in any form, including a notation on the employee's pay stub. <br />The Village retains the right to designate FMLA leave for an employee who is absent for more <br />than three (3) consecutive days and where such absence would otherwise qualify for FMLA leave <br />whether or not the employee requests FMLA leave Such designations will be based upon <br />information and knowledge acquired by the Village <br />(0) BENEFITS/ COVERAGE DURING LEAVE: During any period of leave under this <br />policy, an employee's group health insurance coverage will be maintained on the same conditions <br />as coverage would have been provided if the employee had been continuously employed during <br />the entire leave period. The Village will continue to pay its portion of the insurance premium and <br />to continue health coverage, the employee must continue to make all contributions that he or she <br />made to the plan before taking leave. Failure of the employee to pay his or her share of the health <br />insurance premium may result in loss of coverage. If the employee fails to return to work after <br />the expiration of the leave so as to preclude the Village from recovering its share of health benefit <br />premium payments made on the employee's behalf during a period of unpaid FMLA leave, the <br />employee will be required to reimburse the Village for payment of health insurance premiums <br />during the family leave, unless the reason the employee fails to return is the presence of a serious <br />health condition of the employee or the employee's family or of a covered servicemember's <br />serious injury or illness which prevents the employee from performing his or her job, or to other <br />circumstances beyond the employee's control. The employee must provide the Village with a <br />medical certification of the presence of such serious health condition of the employee or the <br />employee's family member, or the covered service member's serious injury or illness, within 30 <br />days of the Village's request for such certification. If the employee does not provide such <br />certification within 30 days, or the reason for not returning to work does not meet the test of other <br />circumstances beyond the employee's control, the Village may recover 100% of the health benefit <br />premiums it paid during the period of unpaid FMLA leave. <br />An employee's entitlement to benefits other than group health benefits during a period of FMLA <br />leave (vacation and sick leave) is to be determined by Village policy for providing such benefits <br />when the employee is on other forms of leave (paid or unpaid, as appropriate). <br />(P) EXPIRATION OF LEAVE: An employee's entitlement to FMLA leave for a birth or <br />placement for adoption or foster care expires at the end of the twelve (12) -month period <br />beginning on the date of the birth or placement unless Ohio law allows leave to be taken for a <br />longer period. <br />(Q) RETURN FROM LEAVE: An employee who returns to work for at least 30 calendar <br />days is considered to have "returned" from FMLA leave. An employee who transfers directly <br />from taking FMLA leave to retirement, or who retires during the first 30 days after the employee <br />returns to work, is deemed to have returned from leave. <br />An employee must complete a notice of intention to return (provided by the Village) from FMLA <br />leave before the employee can be returned to active status unless the FMLA leave was <br />intermittent leave. For employees whose leave was occasioned by the employee's own serious <br />health condition that made the employee unable to perform the employee's job, the notice of <br />intention to return from leave must be signed by the employee's health care provider. A health <br />care provider employed by the Village may contact the employee's health care provider, with the <br />employee's permission, for purposes of clarification of the employee's fitness to return to work. <br />The clarification may be requested only for the serious health condition for which FMLA leave <br />was taken. The Village may, at their own expense, require the employee to obtain a second <br />